Antisense modulation of transforming growth factor beta receptor II expression

ABSTRACT

Antisense compounds, compositions and methods are provided for modulating the expression of Transforming growth factor beta receptor II. The compositions comprise antisense compounds, particularly antisense oligonucleotides, targeted to nucleic acids encoding Transforming growth factor beta receptor II. Methods of using these compounds for modulation of Transforming growth factor beta receptor II expression and for treatment of diseases associated with expression of Transforming growth factor beta receptor II are provided.

FIELD OF THE INVENTION

[0001] The present invention provides compositions and methods for modulating the expression of Transforming growth factor beta receptor II. In particular, this invention relates to compounds, particularly oligonucleotides, specifically hybridizable with nucleic acids encoding Transforming growth factor beta receptor II. Such compounds have been shown to modulate the expression of Transforming growth factor beta receptor II.

BACKGROUND OF THE INVENTION

[0002] The transforming growth factor beta (TGF-β) superfamily of cytokines regulates a diverse array of physiologic functions including cell proliferation and growth, cell migration, differentiation, development, production of extracellular matrix, and the immune response. Each subgroup of this superfamily initiates a unique intracellular signaling cascade stimulated by ligand-induced formation and activation of specific serine/threonine kinase receptor complexes. The TGF-β subfamily signal transduction occurs through a requisite interaction between transforming growth factor beta type I and II receptors. Mutant function or overactivity of TGF-β signaling components is implicated in cancers of the colon, esophagus, pancreas, lung, and breast, as well as in hyperproliferative disorders of the kidney, atherosclerosis, and rheumatoid arthritis (Imai et al., J. Nephrol., 1998, 11, 16-19; Markowitz, J. Clin. Invest., 1997, 100, 2143-2145; Pasche, J. Cell Physiol., 2001, 186, 153-168; Piek et al., Faseb J., 1999, 13, 2105-2124).

[0003] Transforming growth factor beta receptor II (also known as TGF-beta receptor II, TGFBR2, Tgfbr2, TGF-β RII, TβR-II, TbetaRII) has high affinity for the TGF-β1 ligand but low affinity for the TGF-β2 ligand. Thus, in some cell types, a third receptor (TGF-β receptor type III), is required to facilitate TGF-β2 binding and presentation of the ligand to transforming growth factor beta receptor II (Rotzer et al., Embo J., 2001, 20, 480-490). Once the growth factor/type II receptor complex is formed, the kinase domain of transforming growth factor beta receptor II activates the type I receptor by transphosphorylation, and the activated type I receptor then associates with cytoplasmic effectors, the Smad proteins, to propagate the kinase signal (Piek et al., Faseb J., 1999, 13, 2105-2124).

[0004] Transforming growth factor beta receptor II was cloned from LLC-PK₁ porcine renal epithelial cells (Lin et al., Cell, 1992, 68, 775-785). Disclosed and claimed in U.S. Pat. No. 6,008,011 are nucleic acid sequences encoding full length and soluble polypeptides encoding transforming growth factor beta receptor II, complementary fragments of such nucleic acids useful as probes, as well as the corresponding vectors, host cells, and their use in the production of recombinant receptors (Lin et al., 1999). The human transforming growth factor beta receptor II gene was mapped to the 3p22 locus, a region implicated in lung and breast carcinomas (Mathew et al., Genomics, 1994, 20, 114-115), and the mouse Tgfbr2 gene was mapped to distal mouse chromosome 9 within a region of synteny with the human chromosome at 3p22-p21 (Bonyadi et al., Genomics, 1996, 33, 328-329).

[0005] Alternate transcripts of transforming growth factor beta receptor II genes in mouse and human have been identified. One human isoform, TβRII-B, has acquired a high affinity binding site for TGF-β2 in its extracellular domain and can bind the ligand without assistance from the type III receptor. The sites of predominant expression of the TβRII-B type II receptor isoform in osteoblasts and mesenchymal precursor cells also correlate with expression of the TGF-β 2 ligand in chondrocytes and osteocytes (Rotzer et al., Embo J., 2001, 20, 480-490).

[0006] Transforming growth factor beta receptor II propagates the potent antiproliferative effect of TGF-β during the normal process of apoptosis that occurs during development in the kidney and after acute vascular injury such as angioplasty. Disruptions of transforming growth factor beta receptor II signaling have been shown to be involved in glomerulosclerosis, a progressive disease characterized by an accumulation of extracellular matrix (ECM) following proliferation of glomerular cells in the kidney (Imai et al., J. Nephrol., 1998, 11, 16-19). In another fibroproliferative vascular disease, lesion-derived human vascular cells exhibit resistance to the antiproliferative effects of TGF-β resulting from an acquired mutation in transforming growth factor beta receptor II (Markowitz, J. Clin. Invest., 1997, 100, 2143-2145; McCaffrey et al., J. Mol. Cell Cardiol., 1999, 31, 1627-1642).

[0007] Tumor-specific transforming growth factor beta receptor II mutations have been reported in gastrointestinal malignancies (including gastric, esophageal, liver, biliary and pancreatic, and colorectal), in brain tumors, adenocarcinoma, and in cervical, endometrial, breast, head and neck, and small-cell lung cancers (Pasche, J. Cell Physiol., 2001, 186, 153-168). In particular, the vast majority of hereditary nonpolyposis colorectal cancer cell lines with microsatellite instability bear mutations in transforming growth factor beta receptor II and these mutations are associated with the absence of receptors from the cell surface and a loss of responsiveness to TGF-β (Markowitz et al., Science, 1995, 268, 1336-1338). Mutations in transforming growth factor beta receptor II have also been identified in cell lines derived from recurrent human breast tumors, in subpopulations of human pancreatic adenocarcinomas, and in gliomal cancers (Hata, Exp. Cell Res., 2001, 264, 111-116; Lucke et al., Cancer Res., 2001, 61, 482-485; Pasche, J. Cell Physiol., 2001, 186, 153-168; Venkatasubbarao et al., Genes Chromosomes Cancer, 1998, 22, 138-144). Furthermore, in patients with Ewing's sarcoma (EWS) and related peripheral primitive neuroectodermal tumors, the EWS/Fli-1 fusion protein resulting from chromosomal translocation has been shown to repress the expression of transforming growth factor beta receptor II (Hahm et al., Nat Genet, 1999, 23, 222-227.). Once generated, these mutations lead to an escape from negative growth regulation by TGF-β and a proliferative advantage of cells lacking functional type II receptors, which is believed to drive tumor progression and account for a predisposition to cancer.

[0008] The modulation of transforming growth factor beta receptor II activity and/or expression is an ideal target for therapeutic intervention aimed at modulating the TGF-β signaling pathway in the prevention and treatment of many cancers and fibroproliferative diseases.

[0009] For example, many tumor cells have a cytokine mediated immunosuppressive defense mechanism involving the secretion of TGF-β, which downregulates the tumoricidal capabilities of antigen-specific T-cells. This immune evasion has been referred to as the tumor “firewall.” By inhibiting the function of transforming growth factor beta receptor II in a subpopulation of leukocytes, it should be possible to provide a means of circumventing the tumor firewall by making these immune cells insensitive to the immunosuppressive effects of TGF-β (Shah and Lee, Prostate, 2000, 45, 167-172).

[0010] A transforming growth factor beta receptor II knockout mouse has been generated and heterozygous mice are developmentally normal, whereas the homozygous mutation causes defects in yolk sac hematopoiesis and vasculogenesis, resulting in embryonic lethality around 10.5 days of gestation (Oshima et al., Dev. Biol., 1996, 179, 297-302).

[0011] Investigative strategies aimed at modulating transforming growth factor beta receptor II function have involved the use of antibodies directed against an N-terminal peptide of transforming growth factor beta receptor II to perturb ligand-receptor binding and functionally block signaling, and the use of antisense oligonucleotides.

[0012] In two studies of the role of this receptor in TGF-β signaling, a phosphorothioate antisense oligodeoxynucleotide, 16 nucleotides in length, surrounding the translation start site of the murine transforming growth factor beta receptor II was used to show that when the function of murine transforming growth factor beta receptor II is abrogated, lung branching morphogenesis in cultured murine embryonic lung cells is stimulated (Zhao et al., Dev. Biol., 1996, 180, 242-257) and tooth formation in early morphogenesis of mouse mandibular explants is enhanced (Chai et al., Mech. Dev., 1999, 86, 63-74).

[0013] Two phosphorothioate antisense oligodeoxynucleotides, 16 nucleotides and 18 nucleotides in length and spanning the translation start site, have been used to inhibit rat transforming growth factor beta receptor II function and show its involvement in branching of embryonic lung explants (Liu et al., Dev. Dyn., 2000, 217, 343-360) and in the TGF-β1 mediated inhibition of MAP kinase activation in cultured rat glomerular epithelial cells, respectively (Higashiyama et al., Hypertens. Res., 1999, 22, 173-180).

[0014] Transient transfection of MDA-MB-435 human breast cancer cells with a phosphorothioate antisense oligodeoxynucleotide, 21 nucleotides in length and targeting an unspecified region of transforming growth factor beta receptor II, was found to block TGF-β-induced apoptosis (Yu et al., Nutr. Cancer, 1997, 27, 267-278).

[0015] Currently, there are no known therapeutic agents that effectively inhibit the synthesis of transforming growth factor beta receptor II. Consequently, there remains a long felt need for additional agents capable of effectively inhibiting transforming growth factor beta receptor II function.

[0016] Antisense technology is emerging as an effective means for reducing the expression of specific gene products and therefore may prove to be uniquely useful in a number of therapeutic, diagnostic, and research applications for the modulation of transforming growth factor beta receptor II expression.

[0017] The present invention provides compositions and methods for modulating transforming growth factor beta receptor II expression, including modulation of the truncated mutants and alternatively spliced forms of transforming growth factor beta receptor II.

SUMMARY OF THE INVENTION

[0018] The present invention is directed to compounds, particularly antisense oligonucleotides, which are targeted to a nucleic acid encoding Transforming growth factor beta receptor II, and which modulate the expression of Transforming growth factor beta receptor II. Pharmaceutical and other compositions comprising the compounds of the invention are also provided. Further provided are methods of modulating the expression of Transforming growth factor beta receptor II in cells or tissues comprising contacting said cells or tissues with one or more of the antisense compounds or compositions of the invention. Further provided are methods of treating an animal, particularly a human, suspected of having or being prone to a disease or condition associated with expression of Transforming growth factor beta receptor II by administering a therapeutically or prophylactically effective amount of one or more of the antisense compounds or compositions of the invention.

DETAILED DESCRIPTION OF THE INVENTION

[0019] The present invention employs oligomeric compounds, particularly antisense oligonucleotides, for use in modulating the function of nucleic acid molecules encoding Transforming growth factor beta receptor II, ultimately modulating the amount of Transforming growth factor beta receptor II produced. This is accomplished by providing antisense compounds which specifically hybridize with one or more nucleic acids encoding Transforming growth factor beta receptor II. As used herein, the terms “target nucleic acid” and “nucleic acid encoding Transforming growth factor beta receptor II” encompass DNA encoding Transforming growth factor beta receptor II, RNA (including pre-mRNA and mRNA) transcribed from such DNA, and also cDNA derived from such RNA. The specific hybridization of an oligomeric compound with its target nucleic acid interferes with the normal function of the nucleic acid. This modulation of function of a target nucleic acid by compounds which specifically hybridize to it is generally referred to as “antisense”. The functions of DNA to be interfered with include replication and transcription. The functions of RNA to be interfered with include all vital functions such as, for example, translocation of the RNA to the site of protein translation, translation of protein from the RNA, splicing of the RNA to yield one or more mRNA species, and catalytic activity which may be engaged in or facilitated by the RNA. The overall effect of such interference with target nucleic acid function is modulation of the expression of Transforming growth factor beta receptor II. In the context of the present invention, “modulation” means either an increase (stimulation) or a decrease (inhibition) in the expression of a gene. In the context of the present invention, inhibition is the preferred form of modulation of gene expression and mRNA is a preferred target.

[0020] It is preferred to target specific nucleic acids for antisense. “Targeting” an antisense compound to a particular nucleic acid, in the context of this invention, is a multistep process. The process usually begins with the identification of a nucleic acid sequence whose function is to be modulated. This may be, for example, a cellular gene (or mRNA transcribed from the gene) whose expression is associated with a particular disorder or disease state, or a nucleic acid molecule from an infectious agent. In the present invention, the target is a nucleic acid molecule encoding Transforming growth factor beta receptor II. The targeting process also includes determination of a site or sites within this gene for the antisense interaction to occur such that the desired effect, e.g., detection or modulation of expression of the protein, will result. Within the context of the present invention, a preferred intragenic site is the region encompassing the translation initiation or termination codon of the open reading frame (ORF) of the gene. Since, as is known in the art, the translation initiation codon is typically 5′-AUG (in transcribed mRNA molecules; 5′-ATG in the corresponding DNA molecule), the translation initiation codon is also referred to as the “AUG codon,” the “start codon” or the “AUG start codon”. A minority of genes have a translation initiation codon having the RNA sequence 5′-GUG, 5′-UUG or 5′-CUG, and 5′-AUA, 5′-ACG and 5′-CUG have been shown to function in vivo. Thus, the terms “translation initiation codon” and “start codon” can encompass many codon sequences, even though the initiator amino acid in each instance is typically methionine (in eukaryotes) or formylmethionine (in prokaryotes). It is also known in the art that eukaryotic and prokaryotic genes may have two or more alternative start codons, any one of which may be preferentially utilized for translation initiation in a particular cell type or tissue, or under a particular set of conditions. In the context of the invention, “start codon” and “translation initiation codon” refer to the codon or codons that are used in vivo to initiate translation of an mRNA molecule transcribed from a gene encoding Transforming growth factor beta receptor II, regardless of the sequence(s) of such codons.

[0021] It is also known in the art that a translation termination codon (or “stop codon”) of a gene may have one of three sequences, i.e., 5′-UAA, 5′-UAG and 5′-UGA (the corresponding DNA sequences are 5′-TAA, 5′-TAG and 5′-TGA, respectively). The terms “start codon region” and “translation initiation codon region” refer to a portion of such an mRNA or gene that encompasses from about 25 to about 50 contiguous nucleotides in either direction (i.e., 5′ or 3′) from a translation initiation codon. Similarly, the terms “stop codon region” and “translation termination codon region” refer to a portion of such an mRNA or gene that encompasses from about 25 to about 50 contiguous nucleotides in either direction (i.e., 5′ or 3′) from a translation termination codon.

[0022] The open reading frame (ORF) or “coding region,” which is known in the art to refer to the region between the translation initiation codon and the translation termination codon, is also a region which may be targeted effectively. Other target regions include the 5′ untranslated region (5′UTR), known in the art to refer to the portion of an mRNA in the 5′ direction from the translation initiation codon, and thus including nucleotides between the 5′ cap site and the translation initiation codon of an mRNA or corresponding nucleotides on the gene, and the 3′ untranslated region (3′UTR), known in the art to refer to the portion of an mRNA in the 3′ direction from the translation termination codon, and thus including nucleotides between the translation termination codon and 3′ end of an mRNA or corresponding nucleotides on the gene. The 5′ cap of an mRNA comprises an N7-methylated guanosine residue joined to the 5′-most residue of the mRNA via a 5′-5′ triphosphate linkage. The 5′ cap region of an mRNA is considered to include the 5′ cap structure itself as well as the first 50 nucleotides adjacent to the cap. The 5′ cap region may also be a preferred target region.

[0023] Although some eukaryotic mRNA transcripts are directly translated, many contain one or more regions, known as “introns,” which are excised from a transcript before it is translated. The remaining (and therefore translated) regions are known as “exons” and are spliced together to form a continuous mRNA sequence. mRNA splice sites, i.e., intron-exon junctions, may also be preferred target regions, and are particularly useful in situations where aberrant splicing is implicated in disease, or where an overproduction of a particular mRNA splice product is implicated in disease. Aberrant fusion junctions due to rearrangements or deletions are also preferred targets. It has also been found that introns can also be effective, and therefore preferred, target regions for antisense compounds targeted, for example, to DNA or pre-mRNA.

[0024] Once one or more target sites have been identified, oligonucleotides are chosen which are sufficiently complementary to the target, i.e., hybridize sufficiently well and with sufficient specificity, to give the desired effect.

[0025] In the context of this invention, “hybridization” means hydrogen bonding, which may be Watson-Crick, Hoogsteen or reversed Hoogsteen hydrogen bonding, between complementary nucleoside or nucleotide bases. For example, adenine and thymine are complementary nucleobases which pair through the formation of hydrogen bonds. “Complementary,” as used herein, refers to the capacity for precise pairing between two nucleotides. For example, if a nucleotide at a certain position of an oligonucleotide is capable of hydrogen bonding with a nucleotide at the same position of a DNA or RNA molecule, then the oligonucleotide and the DNA or RNA are considered to be complementary to each other at that position. The oligonucleotide and the DNA or RNA are complementary to each other when a sufficient number of corresponding positions in each molecule are occupied by nucleotides which can hydrogen bond with each other. Thus, “specifically hybridizable” and “complementary” are terms which are used to indicate a sufficient degree of complementarity or precise pairing such that stable and specific binding occurs between the oligonucleotide and the DNA or RNA target. It is understood in the art that the sequence of an antisense compound need not be 100% complementary to that of its target nucleic acid to be specifically hybridizable. An antisense compound is specifically hybridizable when binding of the compound to the target DNA or RNA molecule interferes with the normal function of the target DNA or RNA to cause a loss of utility, and there is a sufficient degree of complementarity to avoid non-specific binding of the antisense compound to non-target sequences under conditions in which specific binding is desired, i.e., under physiological conditions in the case of in vivo assays or therapeutic treatment, and in the case of in vitro assays, under conditions in which the assays are performed.

[0026] Antisense and other compounds of the invention which hybridize to the target and inhibit expression of the target are identified through experimentation, and the sequences of these compounds are hereinbelow identified as preferred embodiments of the invention. The target sites to which these preferred sequences are complementary are hereinbelow referred to as “active sites” and are therefore preferred sites for targeting. Therefore another embodiment of the invention encompasses compounds which hybridize to these active sites.

[0027] Antisense compounds are commonly used as research reagents and diagnostics. For example, antisense oligonucleotides, which are able to inhibit gene expression with exquisite specificity, are often used by those of ordinary skill to elucidate the function of particular genes. Antisense compounds are also used, for example, to distinguish between functions of various members of a biological pathway. Antisense modulation has, therefore, been harnessed for research use.

[0028] For use in kits and diagnostics, the antisense compounds of the present invention, either alone or in combination with other antisense compounds or therapeutics, can be used as tools in differential and/or combinatorial analyses to elucidate expression patterns of a portion or the entire complement of genes expressed within cells and tissues.

[0029] Expression patterns within cells or tissues treated with one or more antisense compounds are compared to control cells or tissues not treated with antisense compounds and the patterns produced are analyzed for differential levels of gene expression as they pertain, for example, to disease association, signaling pathway, cellular localization, expression level, size, structure or function of the genes examined. These analyses can be performed on stimulated or unstimulated cells and in the presence or absence of other compounds which affect expression patterns.

[0030] Examples of methods of gene expression analysis known in the art include DNA arrays or microarrays (Brazma and Vilo, FEBS Lett., 2000, 480, 17-24; Celis, et al., FEBS Lett., 2000, 480, 2-16), SAGE (serial analysis of gene expression)(Madden, et al., Drug Discov. Today, 2000, 5, 415-425), READS (restriction enzyme amplification of digested cDNAs) (Prashar and Weissman, Methods Enzymol., 1999, 303, 258-72), TOGA (total gene expression analysis) (Sutcliffe, et al., Proc. Natl. Acad. Sci. U. S. A., 2000, 97, 1976-81), protein arrays and proteomics (Celis, et al., FEBS Lett., 2000, 480, 2-16; Jungblut, et al., Electrophoresis, 1999, 20, 2100-10), expressed sequence tag (EST) sequencing (Celis, et al., FEBS Lett., 2000, 480, 2-16; Larsson, et al., J. Biotechnol., 2000, 80, 143-57), subtractive RNA fingerprinting (SuRF) (Fuchs, et al., Anal. Biochem., 2000, 286, 91-98; Larson, et al., Cytometry, 2000, 41, 203-208), subtractive cloning, differential display (DD) (Jurecic and Belmont, Curr. Opin. Microbiol., 2000, 3, 316-21), comparative genomic hybridization (Carulli, et al., J. Cell Biochem. Suppl., 1998, 31, 286-96), FISH (fluorescent in situ hybridization) techniques (Going and Gusterson, Eur. J. Cancer, 1999, 35, 1895-904) and mass spectrometry methods (reviewed in (To, Comb. Chem. High Throughput Screen, 2000, 3, 235-41).

[0031] The specificity and sensitivity of antisense is also harnessed by those of skill in the art for therapeutic uses. Antisense oligonucleotides have been employed as therapeutic moieties in the treatment of disease states in animals and man. Antisense oligonucleotide drugs, including ribozymes, have been safely and effectively administered to humans and numerous clinical trials are presently underway. It is thus established that oligonucleotides can be useful therapeutic modalities that can be configured to be useful in treatment regimes for treatment of cells, tissues and animals, especially humans.

[0032] In the context of this invention, the term “oligonucleotide” refers to an oligomer or polymer of ribonucleic acid (RNA) or deoxyribonucleic acid (DNA) or mimetics thereof. This term includes oligonucleotides composed of naturally-occurring nucleobases, sugars and covalent internucleoside (backbone) linkages as well as oligonucleotides having non-naturally-occurring portions which function similarly. Such modified or substituted oligonucleotides are often preferred over native forms because of desirable properties such as, for example, enhanced cellular uptake, enhanced affinity for nucleic acid target and increased stability in the presence of nucleases.

[0033] While antisense oligonucleotides are a preferred form of antisense compound, the present invention comprehends other oligomeric antisense compounds, including but not limited to oligonucleotide mimetics such as are described below. The antisense compounds in accordance with this invention preferably comprise from about 8 to about 50 nucleobases (i.e. from about 8 to about 50 linked nucleosides). Particularly preferred antisense compounds are antisense oligonucleotides, even more preferably those comprising from about 12 to about 30 nucleobases. Antisense compounds include ribozymes, external guide sequence (EGS) oligonucleotides (oligozymes), and other short catalytic RNAs or catalytic oligonucleotides which hybridize to the target nucleic acid and modulate its expression.

[0034] As is known in the art, a nucleoside is a base-sugar combination. The base portion of the nucleoside is normally a heterocyclic base. The two most common classes of such heterocyclic bases are the purines and the pyrimidines. Nucleotides are nucleosides that further include a phosphate group covalently linked to the sugar portion of the nucleoside. For those nucleosides that include a pentofuranosyl sugar, the phosphate group can be linked to either the 2′, 3′ or 5′ hydroxyl moiety of the sugar. In forming oligonucleotides, the phosphate groups covalently link adjacent nucleosides to one another to form a linear polymeric compound. In turn the respective ends of this linear polymeric structure can be further joined to form a circular structure, however, open linear structures are generally preferred. Within the oligonucleotide structure, the phosphate groups are commonly referred to as forming the internucleoside backbone of the oligonucleotide. The normal linkage or backbone of RNA and DNA is a 3′ to 5′ phosphodiester linkage.

[0035] Specific examples of preferred antisense compounds useful in this invention include oligonucleotides containing modified backbones or non-natural internucleoside linkages. As defined in this specification, oligonucleotides having modified backbones include those that retain a phosphorus atom in the backbone and those that do not have a phosphorus atom in the backbone. For the purposes of this specification, and as sometimes referenced in the art, modified oligonucleotides that do not have a phosphorus atom in their internucleoside backbone can also be considered to be oligonucleosides.

[0036] Preferred modified oligonucleotide backbones include, for example, phosphorothioates, chiral phosphorothioates, phosphorodithioates, phosphotriesters, aminoalkylphosphotriesters, methyl and other alkyl phosphonates including 3′-alkylene phosphonates, 5′-alkylene phosphonates and chiral phosphonates, phosphinates, phosphoramidates including 3′-amino phosphoramidate and aminoalkylphosphoramidates, thionophosphoramidates, thionoalkylphosphonates, thionoalkylphosphotriesters, selenophosphates and boranophosphates having normal 3′-5′ linkages, 2′-5′ linked analogs of these, and those having inverted polarity wherein one or more internucleotide linkages is a 3′ to 3′, 5′ to 5′ or 2′ to 2′ linkage. Preferred oligonucleotides having inverted polarity comprise a single 3′ to 3′ linkage at the 3′-most internucleotide linkage i.e. a single inverted nucleoside residue which may be abasic (the nucleobase is missing or has a hydroxyl group in place thereof). Various salts, mixed salts and free acid forms are also included.

[0037] Representative United States patents that teach the preparation of the above phosphorus-containing linkages include, but are not limited to, U.S. Pat. Nos. 3,687,808; 4,469,863; 4,476,301; 5,023,243; 5,177,196; 5,188,897; 5,264,423; 5,276,019; 5,278,302; 5,286,717; 5,321,131; 5,399,676; 5,405,939; 5,453,496; 5,455,233; 5,466,677; 5,476,925; 5,519,126; 5,536,821; 5,541,306; 5,550,111; 5,563,253; 5,571,799; 5,587,361; 5,194,599; 5,565,555; 5,527,899; 5,721,218; 5,672,697 and 5,625,050, certain of which are commonly owned with this application, and each of which is herein incorporated by reference.

[0038] Preferred modified oligonucleotide backbones that do not include a phosphorus atom therein have backbones that are formed by short chain alkyl or cycloalkyl internucleoside linkages, mixed heteroatom and alkyl or cycloalkyl internucleoside linkages, or one or more short chain heteroatomic or heterocyclic internucleoside linkages. These include those having morpholino linkages (formed in part from the sugar portion of a nucleoside); siloxane backbones; sulfide, sulfoxide and sulfone backbones; formacetyl and thioformacetyl backbones; methylene formacetyl and thioformacetyl backbones; riboacetyl backbones; alkene containing backbones; sulfamate backbones; methyleneimino and methylenehydrazino backbones; sulfonate and sulfonamide backbones; amide backbones; and others having mixed N, O, S and CH₂ component parts.

[0039] Representative United States patents that teach the preparation of the above oligonucleosides include, but are not limited to, U.S. Pat. Nos. 5,034,506; 5,166,315; 5,185,444; 5,214,134; 5,216,141; 5,235,033; 5,264,562; 5,264,564; 5,405,938; 5,434,257; 5,466,677; 5,470,967; 5,489,677; 5,541,307; 5,561,225; 5,596,086; 5,602,240; 5,610,289; 5,602,240; 5,608,046; 5,610,289; 5,618,704; 5,623,070; 5,663,312; 5,633,360; 5,677,437; 5,792,608; 5,646,269 and 5,677,439, certain of which are commonly owned with this application, and each of which is herein incorporated by reference.

[0040] In other preferred oligonucleotide mimetics, both the sugar and the internucleoside linkage, i.e., the backbone, of the nucleotide units are replaced with novel groups. The base units are maintained for hybridization with an appropriate nucleic acid target compound. One such oligomeric compound, an oligonucleotide mimetic that has been shown to have excellent hybridization properties, is referred to as a peptide nucleic acid (PNA). In PNA compounds, the sugar-backbone of an oligonucleotide is replaced with an amide containing backbone, in particular an aminoethylglycine backbone. The nucleobases are retained and are bound directly or indirectly to aza nitrogen atoms of the amide portion of the backbone. Representative United States patents that teach the preparation of PNA compounds include, but are not limited to, U.S. Pat. Nos. 5,539,082; 5,714,331; and 5,719,262, each of which is herein incorporated by reference. Further teaching of PNA compounds can be found in Nielsen et al., Science, 1991, 254, 1497-1500.

[0041] Most preferred embodiments of the invention are oligonucleotides with phosphorothioate backbones and oligonucleosides with heteroatom backbones, and in particular —CH₂—NH—O—CH₂—, —CH₂—N(CH₃)—O—CH₂— [known as a methylene (methylimino) or MMI backbone], —CH₂—O—N (CH₃)—CH₂—, —CH₂—N(CH₃)—N(CH₃)—CH₂— and —O—N(CH₃)—CH₂—CH₂— [wherein the native phosphodiester backbone is represented as —O—P—O—CH₂—] of the above referenced U.S. Pat. No. 5,489,677, and the amide backbones of the above referenced U.S. Pat. No. 5,602,240. Also preferred are oligonucleotides having morpholino backbone structures of the above-referenced U.S. Pat. No. 5,034,506.

[0042] Modified oligonucleotides may also contain one or more substituted sugar moieties. Preferred oligonucleotides comprise one of the following at the 2′ position: OH; F; O-, S-, or N-alkyl; O-, S-, or N-alkenyl; O-, S- or N-alkynyl; or O-alkyl-O-alkyl, wherein the alkyl, alkenyl and alkynyl may be substituted or unsubstituted C₁ to C₁₀ alkyl or C₂ to C₁₀ alkenyl and alkynyl. Particularly preferred are O[(CH₂)_(n)O]_(m)CH₃, O(CH₂)_(n)OCH₃, O(CH₂)_(n)NH₂, O(CH₂)_(n)CH₃, O(CH₂)_(n)ONH₂, and O(CH₂)_(n)ON[(CH₂)_(n)CH₃)]₂, where n and m are from 1 to about 10. Other preferred oligonucleotides comprise one of the following at the 2′ position: C₁ to C₁₀ lower alkyl, substituted lower alkyl, alkenyl, alkynyl, alkaryl, aralkyl, O-alkaryl or O-aralkyl, SH, SCH₃, OCN, Cl, Br, CN, CF₃, OCF₃, SOCH₃, SO₂CH₃, ONO₂, NO₂, N₃, NH₂, heterocycloalkyl, heterocycloalkaryl, aminoalkylamino, polyalkylamino, substituted silyl, an RNA cleaving group, a reporter group, an intercalator, a group for improving the pharmacokinetic properties of an oligonucleotide, or a group for improving the pharmacodynamic properties of an oligonucleotide, and other substituents having similar properties. A preferred modification includes 2′-methoxyethoxy (2′—O—CH₂CH₂OCH₃, also known as 2′—O—(2-methoxyethyl) or 2′—MOE) (Martin et al., Helv. Chim. Acta, 1995, 78, 486-504) i.e., an alkoxyalkoxy group. A further preferred modification includes 2′-dimethylaminooxyethoxy, i.e., a 0 (CH₂)₂ON(CH₃)₂ group, also known as 2′—DMAOE, as described in examples hereinbelow, and 2′-dimethylaminoethoxyethoxy (also known in the art as 2′—O-dimethylaminoethoxyethyl or 2′—DMAEOE), i.e., 2′—O—CH₂—O—CH₂—N(CH₂)₂, also described in examples hereinbelow.

[0043] A further prefered modification includes Locked Nucleic Acids (LNAs) in which the 2′-hydroxyl group is linked to the 3′ or 4′ carbon atom of the sugar ring thereby forming a bicyclic sugar moiety. The linkage is preferably a methelyne (—CH₂—)_(n) group bridging the 2′ oxygen atom and the 4′ carbon atom wherein n is 1 or 2. LNAs and preparation thereof are described in WO 98/39352 and WO 99/14226.

[0044] Other preferred modifications include 2′-methoxy (2′—O—CH₃), 2′-aminopropoxy (2′—OCH₂CH₂CH₂NH₂), 2′-allyl (2′—CH₂—CH═CH₂), 2′-O-allyl (2′—O—CH₂—CH═CH₂) and 2′-fluoro (2′—F). The 2′-modification may be in the arabino (up) position or ribo (down) position. A preferred 2′-arabino modification is 2′—F. Similar modifications may also be made at other positions on the oligonucleotide, particularly the 3′ position of the sugar on the 3′ terminal nucleotide or in 2′-5′ linked oligonucleotides and the 5′ position of 5′ terminal nucleotide. Oligonucleotides may also have sugar mimetics such as cyclobutyl moieties in place of the pentofuranosyl sugar. Representative United States patents that teach the preparation of such modified sugar structures include, but are not limited to, U.S. Pat. Nos. 4,981,957; 5,118,800; 5,319,080; 5,359,044; 5,393,878; 5,446,137; 5,466,786; 5,514,785; 5,519,134; 5,567,811; 5,576,427; 5,591,722; 5,597,909; 5,610,300; 5,627,053; 5,639,873; 5,646,265; 5,658,873; 5,670,633; 5,792,747; and 5,700,920, certain of which are commonly owned with the instant application, and each of which is herein incorporated by reference in its entirety.

[0045] Oligonucleotides may also include nucleobase (often referred to in the art simply as “base”) modifications or substitutions. As used herein, “unmodified” or “natural” nucleobases include the purine bases adenine (A) and guanine (G), and the pyrimidine bases thymine (T), cytosine (C) and uracil (U). Modified nucleobases include other synthetic and natural nucleobases such as 5-methylcytosine (5-me-C), 5-hydroxymethyl cytosine, xanthine, hypoxanthine, 2-aminoadenine, 6-methyl and other alkyl derivatives of adenine and guanine, 2-propyl and other alkyl derivatives of adenine and guanine, 2-thiouracil, 2-thiothymine and 2-thiocytosine, 5-halouracil and cytosine, 5-propynyl (—C≡C—CH₃) uracil and cytosine and other alkynyl derivatives of pyrimidine bases, 6-azo uracil, cytosine and thymine, 5-uracil (pseudouracil), 4-thiouracil, 8-halo, 8-amino, 8-thiol, 8-thioalkyl, 8-hydroxyl and other 8-substituted adenines and guanines, 5-halo particularly 5-bromo, 5-trifluoromethyl and other 5-substituted uracils and cytosines, 7-methylguanine and 7-methyladenine, 2-F-adenine, 2-amino-adenine, 8-azaguanine and 8-azaadenine, 7-deazaguanine and 7-deazaadenine and 3-deazaguanine and 3-deazaadenine. Further modified nucleobases include tricyclic pyrimidines such as phenoxazine cytidine(1H-pyrimido[5,4-b][1,4]benzoxazin-2(3H)-one), phenothiazine cytidine (1H-pyrimido[5,4-b][1,4]benzothiazin-2(3H)-one), G-clamps such as a substituted phenoxazine cytidine (e.g. 9-(2-aminoethoxy)-H-pyrimido[5,4-b][1,4]benzoxazin-2(3H)-one), carbazole cytidine (2H-pyrimido[4,5-b]indol-2-one), pyridoindole cytidine (H-pyrido[3′,2′:4,5]pyrrolo[2,3-d]pyrimidin-2-one). Modified nucleobases may also include those in which the purine or pyrimidine base is replaced with other heterocycles, for example 7-deaza-adenine, 7-deazaguanosine, 2-aminopyridine and 2-pyridone. Further nucleobases include those disclosed in U.S. Pat. No. 3,687,808, those disclosed in The Concise Encyclopedia Of Polymer Science And Engineering, pages 858-859, Kroschwitz, J. I., ed. John Wiley & Sons, 1990, those disclosed by Englisch et al., Angewandte Chemie, International Edition, 1991, 30, 613, and those disclosed by Sanghvi, Y. S., Chapter 15, Antisense Research and Applications, pages 289-302, Crooke, S. T. and Lebleu, B. ed., CRC Press, 1993. certain of these nucleobases are particularly useful for increasing the binding affinity of the oligomeric compounds of the invention. These include 5-substituted pyrimidines, 6-azapyrimidines and N-2, N-6 and O-6 substituted purines, including 2-aminopropyladenine, 5-propynyluracil and 5-propynylcytosine. 5-methylcytosine substitutions have been shown to increase nucleic acid duplex stability by 0.6-1.2° C. (Sanghvi, Y. S., Crooke, S. T. and Lebleu, B., eds., Antisense Research and Applications, CRC Press, Boca Raton, 1993, pp. 276-278) and are presently preferred base substitutions, even more particularly when combined with 2′-O-methoxyethyl sugar modifications.

[0046] Representative United States patents that teach the preparation of certain of the above noted modified nucleobases as well as other modified nucleobases include, but are not limited to, the above noted U.S. Pat. No. 3,687,808, as well as U.S. Pat. Nos. 4,845,205; 5,130,302; 5,134,066; 5,175,273; 5,367,066; 5,432,272; 5,457,187; 5,459,255; 5,484,908; 5,502,177; 5,525,711; 5,552,540; 5,587,469; 5,594,121, 5,596,091; 5,614,617; 5,645,985; 5,830,653; 5,763,588; 6,005,096; and 5,681,941, certain of which are commonly owned with the instant application, and each of which is herein incorporated by reference, and U.S. Pat. No. 5,750,692, which is commonly owned with the instant application and also herein incorporated by reference.

[0047] Another modification of the oligonucleotides of the invention involves chemically linking to the oligonucleotide one or more moieties or conjugates which enhance the activity, cellular distribution or cellular uptake of the oligonucleotide. The compounds of the invention can include conjugate groups covalently bound to functional groups such as primary or secondary hydroxyl groups. Conjugate groups of the invention include intercalators, reporter molecules, polyamines, polyamides, polyethylene glycols, polyethers, groups that enhance the pharmacodynamic properties of oligomers, and groups that enhance the pharmacokinetic properties of oligomers. Typical conjugates groups include cholesterols, lipids, phospholipids, biotin, phenazine, folate, phenanthridine, anthraquinone, acridine, fluoresceins, rhodamines, coumarins, and dyes. Groups that enhance the pharmacodynamic properties, in the context of this invention, include groups that improve oligomer uptake, enhance oligomer resistance to degradation, and/or strengthen sequence-specific hybridization with RNA. Groups that enhance the pharmacokinetic properties, in the context of this invention, include groups that improve oligomer uptake, distribution, metabolism or excretion. Representative conjugate groups are disclosed in International Patent Application PCT/US92/09196, filed Oct. 23, 1992 the entire disclosure of which is incorporated herein by reference. Conjugate moieties include but are not limited to lipid moieties such as a cholesterol moiety (Letsinger et al., Proc. Natl. Acad. Sci. USA, 1989, 86, 6553-6556), cholic acid (Manoharan et al., Bioorg. Med. Chem. Let., 1994, 4, 1053-1060), a thioether, e.g., hexyl-S-tritylthiol (Manoharan et al., Ann. N.Y. Acad. Sci., 1992, 660, 306-309; Manoharan et al., Bioorg. Med. Chem. Let., 1993, 3, 2765-2770), a thiocholesterol (Oberhauser et al., Nucl. Acids Res., 1992, 20, 533-538), an aliphatic chain, e.g., dodecandiol or undecyl residues (Saison-Behmoaras et al., EMBO J., 1991, 10, 1111-1118; Kabanov et al., FEBS Lett., 1990, 259, 327-330; Svinarchuk et al., Biochimie, 1993, 75, 49-54), a phospholipid, e.g., di-hexadecyl-rac-glycerol or triethyl-ammonium 1,2-di-O-hexadecyl-rac-glycero-3-H-phosphonate (Manoharan et al., Tetrahedron Lett., 1995, 36, 3651-3654; Shea et al., Nucl. Acids Res., 1990, 18, 3777-3783), a polyamine or a polyethylene glycol chain (Manoharan et al., Nucleosides & Nucleotides, 1995, 14, 969-973), or adamantane acetic acid (Manoharan et al., Tetrahedron Lett., 1995, 36, 3651-3654), a palmityl moiety (Mishra et al., Biochim. Biophys. Acta, 1995, 1264, 229-237), or an octadecylamine or hexylamino-carbonyl-oxycholesterol moiety (Crooke et al., J. Pharmacol. Exp. Ther., 1996, 277, 923-937. Oligonucleotides of the invention may also be conjugated to active drug substances, for example, aspirin, warfarin, phenylbutazone, ibuprofen, suprofen, fenbufen, ketoprofen, (S)-(+)-pranoprofen, carprofen, dansylsarcosine, 2,3,5-triiodobenzoic acid, flufenamic acid, folinic acid, a benzothiadiazide, chlorothiazide, a diazepine, indomethicin, a barbiturate, a cephalosporin, a sulfa drug, an antidiabetic, an antibacterial or an antibiotic. Oligonucleotide-drug conjugates and their preparation are described in U.S. patent application Ser. No. 09/334,130 (filed Jun. 15, 1999) which is incorporated herein by reference in its entirety.

[0048] Representative United States patents that teach the preparation of such oligonucleotide conjugates include, but are not limited to, U.S. Pat. Nos. 4,828,979; 4,948,882; 5,218,105; 5,525,465; 5,541,313; 5,545,730; 5,552,538; 5,578,717, 5,580,731; 5,580,731; 5,591,584; 5,109,124; 5,118,802; 5,138,045; 5,414,077; 5,486,603; 5,512,439; 5,578,718; 5,608,046; 4,587,044; 4,605,735; 4,667,025; 4,762,779; 4,789,737; 4,824,941; 4,835,263; 4,876,335; 4,904,582; 4,958,013; 5,082,830; 5,112,963; 5,214,136; 5,082,830; 5,112,963; 5,214,136; 5,245,022; 5,254,469; 5,258,506; 5,262,536; 5,272,250; 5,292,873; 5,317,098; 5,371,241, 5,391,723; 5,416,203, 5,451,463; 5,510,475; 5,512,667; 5,514,785; 5,565,552; 5,567,810; 5,574,142; 5,585,481; 5,587,371; 5,595,726; 5,597,696; 5,599,923; 5,599,928 and 5,688,941, certain of which are commonly owned with the instant application, and each of which is herein incorporated by reference.

[0049] It is not necessary for all positions in a given compound to be uniformly modified, and in fact more than one of the aforementioned modifications may be incorporated in a single compound or even at a single nucleoside within an oligonucleotide. The present invention also includes antisense compounds which are chimeric compounds. “Chimeric” antisense compounds or “chimeras,” in the context of this invention, are antisense compounds, particularly oligonucleotides, which contain two or more chemically distinct regions, each made up of at least one monomer unit, i.e., a nucleotide in the case of an oligonucleotide compound. These oligonucleotides typically contain at least one region wherein the oligonucleotide is modified so as to confer upon the oligonucleotide increased resistance to nuclease degradation, increased cellular uptake, and/or increased binding affinity for the target nucleic acid. An additional region of the oligonucleotide may serve as a substrate for enzymes capable of cleaving RNA:DNA or RNA:RNA hybrids. By way of example, RNase H is a cellular endonuclease which cleaves the RNA strand of an RNA:DNA duplex. Activation of RNase H, therefore, results in cleavage of the RNA target, thereby greatly enhancing the efficiency of oligonucleotide inhibition of gene expression. Consequently, comparable results can often be obtained with shorter oligonucleotides when chimeric oligonucleotides are used, compared to phosphorothioate deoxyoligonucleotides hybridizing to the same target region. Cleavage of the RNA target can be routinely detected by gel electrophoresis and, if necessary, associated nucleic acid hybridization techniques known in the art.

[0050] Chimeric antisense compounds of the invention may be formed as composite structures of two or more oligonucleotides, modified oligonucleotides, oligonucleosides and/or oligonucleotide mimetics as described above. Such compounds have also been referred to in the art as hybrids or gapmers. Representative United States patents that teach the preparation of such hybrid structures include, but are not limited to, U.S. Pat. Nos. 5,013,830; 5,149,797; 5,220,007; 5,256,775; 5,366,878; 5,403,711; 5,491,133; 5,565,350; 5,623,065; 5,652,355; 5,652,356; and 5,700,922, certain of which are commonly owned with the instant application, and each of which is herein incorporated by reference in its entirety.

[0051] The antisense compounds used in accordance with this invention may be conveniently and routinely made through the well-known technique of solid phase synthesis. Equipment for such synthesis is sold by several vendors including, for example, Applied Biosystems (Foster City, Calif.). Any other means for such synthesis known in the art may additionally or alternatively be employed. It is well known to use similar techniques to prepare oligonucleotides such as the phosphorothioates and alkylated derivatives.

[0052] The antisense compounds of the invention are synthesized in vitro and do not include antisense compositions of biological origin, or genetic vector constructs designed to direct the in vivo synthesis of antisense molecules. The compounds of the invention may also be admixed, encapsulated, conjugated or otherwise associated with other molecules, molecule structures or mixtures of compounds, as for example, liposomes, receptor targeted molecules, oral, rectal, topical or other formulations, for assisting in uptake, distribution and/or absorption. Representative United States patents that teach the preparation of such uptake, distribution and/or absorption assisting formulations include, but are not limited to, U.S. Pat. Nos. 5,108,921; 5,354,844; 5,416,016; 5,459,127; 5,521,291; 5,543,158; 5,547,932; 5,583,020; 5,591,721; 4,426,330; 4,534,899; 5,013,556; 5,108,921; 5,213,804; 5,227,170; 5,264,221; 5,356,633; 5,395,619; 5,416,016; 5,417,978; 5,462,854; 5,469,854; 5,512,295; 5,527,528; 5,534,259; 5,543,152; 5,556,948; 5,580,575; and 5,595,756, each of which is herein incorporated by reference.

[0053] The antisense compounds of the invention encompass any pharmaceutically acceptable salts, esters, or salts of such esters, or any other compound which, upon administration to an animal including a human, is capable of providing (directly or indirectly) the biologically active metabolite or residue thereof. Accordingly, for example, the disclosure is also drawn to prodrugs and pharmaceutically acceptable salts of the compounds of the invention, pharmaceutically acceptable salts of such prodrugs, and other bioequivalents.

[0054] The term “prodrug” indicates a therapeutic agent that is prepared in an inactive form that is converted to an active form (i.e., drug) within the body or cells thereof by the action of endogenous enzymes or other chemicals and/or conditions. In particular, prodrug versions of the oligonucleotides of the invention are prepared as SATE [(S-acetyl-2-thioethyl) phosphate] derivatives according to the methods disclosed in WO 93/24510 to Gosselin et al., published Dec. 9, 1993 or in WO 94/26764 and U.S. Pat. No. 5,770,713 to Imbach et al.

[0055] The term “pharmaceutically acceptable salts” refers to physiologically and pharmaceutically acceptable salts of the compounds of the invention: i.e., salts that retain the desired biological activity of the parent compound and do not impart undesired toxicological effects thereto.

[0056] Pharmaceutically acceptable base addition salts are formed with metals or amines, such as alkali and alkaline earth metals or organic amines. Examples of metals used as cations are sodium, potassium, magnesium, calcium, and the like. Examples of suitable amines are N,N′-dibenzylethylenediamine, chloroprocaine, choline, diethanolamine, dicyclohexylamine, ethylenediamine, N-methylglucamine, and procaine (see, for example, Berge et al., “Pharmaceutical Salts,” J. of Pharma Sci., 1977, 66, 1-19). The base addition salts of said acidic compounds are prepared by contacting the free acid form with a sufficient amount of the desired base to produce the salt in the conventional manner. The free acid form may be regenerated by contacting the salt form with an acid and isolating the free acid in the conventional manner. The free acid forms differ from their respective salt forms somewhat in certain physical properties such as solubility in polar solvents, but otherwise the salts are equivalent to their respective free acid for purposes of the present invention. As used herein, a “pharmaceutical addition salt” includes a pharmaceutically acceptable salt of an acid form of one of the components of the compositions of the invention. These include organic or inorganic acid salts of the amines. Preferred acid salts are the hydrochlorides, acetates, salicylates, nitrates and phosphates. Other suitable pharmaceutically acceptable salts are well known to those skilled in the art and include basic salts of a variety of inorganic and organic acids, such as, for example, with inorganic acids, such as for example hydrochloric acid, hydrobromic acid, sulfuric acid or phosphoric acid; with organic carboxylic, sulfonic, sulfo or phospho acids or N-substituted sulfamic acids, for example acetic acid, propionic acid, glycolic acid, succinic acid, maleic acid, hydroxymaleic acid, methylmaleic acid, fumaric acid, malic acid, tartaric acid, lactic acid, oxalic acid, gluconic acid, glucaric acid, glucuronic acid, citric acid, benzoic acid, cinnamic acid, mandelic acid, salicylic acid, 4-aminosalicylic acid, 2-phenoxybenzoic acid, 2-acetoxybenzoic acid, embonic acid, nicotinic acid or isonicotinic acid; and with amino acids, such as the 20 alpha-amino acids involved in the synthesis of proteins in nature, for example glutamic acid or aspartic acid, and also with phenylacetic acid, methanesulfonic acid, ethanesulfonic acid, 2-hydroxyethanesulfonic acid, ethane-1,2-disulfonic acid, benzenesulfonic acid, 4-methylbenzenesulfonic acid, naphthalene-2-sulfonic acid, naphthalene-1,5-disulfonic acid, 2- or 3-phosphoglycerate, glucose-6-phosphate, N-cyclohexylsulfamic acid (with the formation of cyclamates), or with other acid organic compounds, such as ascorbic acid. Pharmaceutically acceptable salts of compounds may also be prepared with a pharmaceutically acceptable cation. Suitable pharmaceutically acceptable cations are well known to those skilled in the art and include alkaline, alkaline earth, ammonium and quaternary ammonium cations. Carbonates or hydrogen carbonates are also possible.

[0057] For oligonucleotides, preferred examples of pharmaceutically acceptable salts include but are not limited to (a) salts formed with cations such as sodium, potassium, ammonium, magnesium, calcium, polyamines such as spermine and spermidine, etc.; (b) acid addition salts formed with inorganic acids, for example hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, nitric acid and the like; (c) salts formed with organic acids such as, for example, acetic acid, oxalic acid, tartaric acid, succinic acid, maleic acid, fumaric acid, gluconic acid, citric acid, malic acid, ascorbic acid, benzoic acid, tannic acid, palmitic acid, alginic acid, polyglutamic acid, naphthalenesulfonic acid, methanesulfonic acid, p-toluenesulfonic acid, naphthalenedisulfonic acid, polygalacturonic acid, and the like; and (d) salts formed from elemental anions such as chlorine, bromine, and iodine.

[0058] The antisense compounds of the present invention can be utilized for diagnostics, therapeutics, prophylaxis and as research reagents and kits. For therapeutics, an animal, preferably a human, suspected of having a disease or disorder which can be treated by modulating the expression of Transforming growth factor beta receptor II is treated by administering antisense compounds in accordance with this invention. The compounds of the invention can be utilized in pharmaceutical compositions by adding an effective amount of an antisense compound to a suitable pharmaceutically acceptable diluent or carrier. Use of the antisense compounds and methods of the invention may also be useful prophylactically, e.g., to prevent or delay infection, inflammation or tumor formation, for example.

[0059] The antisense compounds of the invention are useful for research and diagnostics, because these compounds hybridize to nucleic acids encoding Transforming growth factor beta receptor II, enabling sandwich and other assays to easily be constructed to exploit this fact. Hybridization of the antisense oligonucleotides of the invention with a nucleic acid encoding Transforming growth factor beta receptor II can be detected by means known in the art. Such means may include conjugation of an enzyme to the oligonucleotide, radiolabelling of the oligonucleotide or any other suitable detection means. Kits using such detection means for detecting the level of Transforming growth factor beta receptor II in a sample may also be prepared.

[0060] The present invention also includes pharmaceutical compositions and formulations which include the antisense compounds of the invention. The pharmaceutical compositions of the present invention may be administered in a number of ways depending upon whether local or systemic treatment is desired and upon the area to be treated. Administration may be topical (including ophthalmic and to mucous membranes including vaginal and rectal delivery), pulmonary, e.g., by inhalation or insufflation of powders or aerosols, including by nebulizer; intratracheal, intranasal, epidermal and transdermal), oral or parenteral. Parenteral administration includes intravenous, intraarterial, subcutaneous, intraperitoneal or intramuscular injection or infusion; or intracranial, e.g., intrathecal or intraventricular, administration. Oligonucleotides with at least one 2′-O-methoxyethyl modification are believed to be particularly useful for oral administration.

[0061] Pharmaceutical compositions and formulations for topical administration may include transdermal patches, ointments, lotions, creams, gels, drops, suppositories, sprays, liquids and powders. Conventional pharmaceutical carriers, aqueous, powder or oily bases, thickeners and the like may be necessary or desirable. Coated condoms, gloves and the like may also be useful. Preferred topical formulations include those in which the oligonucleotides of the invention are in admixture with a topical delivery agent such as lipids, liposomes, fatty acids, fatty acid esters, steroids, chelating agents and surfactants. Preferred lipids and liposomes include neutral (e.g. dioleoylphosphatidyl DOPE ethanolamine, dimyristoylphosphatidyl choline DMPC, distearolyphosphatidyl choline) negative (e.g. dimyristoylphosphatidyl glycerol DMPG) and cationic (e.g. dioleoyltetramethylaminopropyl DOTAP and dioleoylphosphatidyl ethanolamine DOTMA). Oligonucleotides of the invention may be encapsulated within liposomes or may form complexes thereto, in particular to cationic liposomes. Alternatively, oligonucleotides may be complexed to lipids, in particular to cationic lipids. Preferred fatty acids and esters include but are not limited arachidonic acid, oleic acid, eicosanoic acid, lauric acid, caprylic acid, capric acid, myristic acid, palmitic acid, stearic acid, linoleic acid, linolenic acid, dicaprate, tricaprate, monoolein, dilaurin, glyceryl 1-monocaprate, 1-dodecylazacycloheptan-2-one, an acylcarnitine, an acylcholine, or a C₁₋₁₀ alkyl ester (e.g. isopropylmyristate IPM), monoglyceride, diglyceride or pharmaceutically acceptable salt thereof. Topical formulations are described in detail in U.S. patent application Ser. No. 09/315,298 filed on May 20, 1999 which is incorporated herein by reference in its entirety.

[0062] Compositions and formulations for oral administration include powders or granules, microparticulates, nanoparticulates, suspensions or solutions in water or non-aqueous media, capsules, gel capsules, sachets, tablets or minitablets. Thickeners, flavoring agents, diluents, emulsifiers, dispersing aids or binders may be desirable. Preferred oral formulations are those in which oligonucleotides of the invention are administered in conjunction with one or more penetration enhancers surfactants and chelators. Preferred surfactants include fatty acids and/or esters or salts thereof, bile acids and/or salts thereof. Prefered bile acids/salts include chenodeoxycholic acid (CDCA) and ursodeoxychenodeoxycholic acid (UDCA), cholic acid, dehydrocholic acid, deoxycholic acid, glucholic acid, glycholic acid, glycodeoxycholic acid, taurocholic acid, taurodeoxycholic acid, sodium tauro-24,25-dihydro-fusidate, sodium glycodihydrofusidate,. Prefered fatty acids include arachidonic acid, undecanoic acid, oleic acid, lauric acid, caprylic acid, capric acid, myristic acid, palmitic acid, stearic acid, linoleic acid, linolenic acid, dicaprate, tricaprate, monoolein, dilaurin, glyceryl 1-monocaprate, 1-dodecylazacycloheptan-2-one, an acylcarnitine, an acylcholine, or a monoglyceride, a diglyceride or a pharmaceutically acceptable salt thereof (e.g. sodium). Also prefered are combinations of penetration enhancers, for example, fatty acids/salts in combination with bile acids/salts. A particularly prefered combination is the sodium salt of lauric acid, capric acid and UDCA. Further penetration enhancers include polyoxyethylene-9-lauryl ether, polyoxyethylene-20-cetyl ether. Oligonucleotides of the invention may be delivered orally in granular form including sprayed dried particles, or complexed to form micro or nanoparticles. Oligonucleotide complexing agents include poly-amino acids; polyimines; polyacrylates; polyalkylacrylates, polyoxethanes, polyalkylcyanoacrylates; cationized gelatins, albumins, starches, acrylates, polyethyleneglycols (PEG) and starches; polyalkylcyanoacrylates; DEAE-derivatized polyimines, pollulans, celluloses and starches. Particularly preferred complexing agents include chitosan, N-trimethylchitosan, poly-L-lysine, polyhistidine, polyornithine, polyspermines, protamine, polyvinylpyridine, polythiodiethylaminomethylethylene P(TDAE), polyaminostyrene (e.g. p-amino), poly(methylcyanoacrylate), poly(ethylcyanoacrylate), poly(butylcyanoacrylate), poly(isobutylcyanoacrylate), poly(isohexylcynaoacrylate), DEAE-methacrylate, DEAE-hexylacrylate, DEAE-acrylamide, DEAE-albumin and DEAE-dextran, polymethylacrylate, polyhexylacrylate, poly(D,L-lactic acid), poly(DL-lactic-co-glycolic acid (PLGA), alginate, and polyethyleneglycol (PEG). Oral formulations for oligonucleotides and their preparation are described in detail in U.S. application Ser. No. 08/886,829 (filed Jul. 1, 1997), Ser. No. 09/108,673 (filed Jul. 1, 1998), Ser. No. 09/256,515 (filed Feb. 23, 1999), Ser. No. 09/082,624 (filed May 21, 1998) and Ser. No. 09/315,298 (filed May 20, 1999) each of which is incorporated herein by reference in their entirety.

[0063] Compositions and formulations for parenteral, intrathecal or intraventricular administration may include sterile aqueous solutions which may also contain buffers, diluents and other suitable additives such as, but not limited to, penetration enhancers, carrier compounds and other pharmaceutically acceptable carriers or excipients.

[0064] Pharmaceutical compositions of the present invention include, but are not limited to, solutions, emulsions, and liposome-containing formulations. These compositions may be generated from a variety of components that include, but are not limited to, preformed liquids, self-emulsifying solids and self-emulsifying semisolids.

[0065] The pharmaceutical formulations of the present invention, which may conveniently be presented in unit dosage form, may be prepared according to conventional techniques well known in the pharmaceutical industry. Such techniques include the step of bringing into association the active ingredients with the pharmaceutical carrier(s) or excipient(s). In general the formulations are prepared by uniformly and intimately bringing into association the active ingredients with liquid carriers or finely divided solid carriers or both, and then, if necessary, shaping the product.

[0066] The compositions of the present invention may be formulated into any of many possible dosage forms such as, but not limited to, tablets, capsules, gel capsules, liquid syrups, soft gels, suppositories, and enemas. The compositions of the present invention may also be formulated as suspensions in aqueous, non-aqueous or mixed media. Aqueous suspensions may further contain substances which increase the viscosity of the suspension including, for example, sodium carboxymethylcellulose, sorbitol and/or dextran. The suspension may also contain stabilizers.

[0067] In one embodiment of the present invention the pharmaceutical compositions may be formulated and used as foams. Pharmaceutical foams include formulations such as, but not limited to, emulsions, microemulsions, creams, jellies and liposomes. While basically similar in nature these formulations vary in the components and the consistency of the final product. The preparation of such compositions and formulations is generally known to those skilled in the pharmaceutical and formulation arts and may be applied to the formulation of the compositions of the present invention.

[0068] Emulsions

[0069] The compositions of the present invention may be prepared and formulated as emulsions. Emulsions are typically heterogenous systems of one liquid dispersed in another in the form of droplets usually exceeding 0.1 μm in diameter. (Idson, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 199; Rosoff, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., Volume 1, p. 245; Block in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 2, p. 335; Higuchi et al., in Remington's Pharmaceutical Sciences, Mack Publishing Co., Easton, Pa., 1985, p. 301). Emulsions are often biphasic systems comprising of two immiscible liquid phases intimately mixed and dispersed with each other. In general, emulsions may be either water-in-oil (w/o) or of the oil-in-water (o/w) variety. When an aqueous phase is finely divided into and dispersed as minute droplets into a bulk oily phase the resulting composition is called a water-in-oil (w/o) emulsion. Alternatively, when an oily phase is finely divided into and dispersed as minute droplets into a bulk aqueous phase the resulting composition is called an oil-in-water (o/w) emulsion. Emulsions may contain additional components in addition to the dispersed phases and the active drug which may be present as a solution in either the aqueous phase, oily phase or itself as a separate phase. Pharmaceutical excipients such as emulsifiers, stabilizers, dyes, and anti-oxidants may also be present in emulsions as needed. Pharmaceutical emulsions may also be multiple emulsions that are comprised of more than two phases such as, for example, in the case of oil-in-water-in-oil (o/w/o) and water-in-oil-in-water (w/o/w) emulsions. Such complex formulations often provide certain advantages that simple binary emulsions do not. Multiple emulsions in which individual oil droplets of an o/w emulsion enclose small water droplets constitute a w/o/w emulsion. Likewise a system of oil droplets enclosed in globules of water stabilized in an oily continuous provides an o/w/o emulsion.

[0070] Emulsions are characterized by little or no thermodynamic stability. Often, the dispersed or discontinuous phase of the emulsion is well dispersed into the external or continuous phase and maintained in this form through the means of emulsifiers or the viscosity of the formulation. Either of the phases of the emulsion may be a semisolid or a solid, as is the case of emulsion-style ointment bases and creams. Other means of stabilizing emulsions entail the use of emulsifiers that may be incorporated into either phase of the emulsion. Emulsifiers may broadly be classified into four categories: synthetic surfactants, naturally occurring emulsifiers, absorption bases, and finely dispersed solids (Idson, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 199).

[0071] Synthetic surfactants, also known as surface active agents, have found wide applicability in the formulation of emulsions and have been reviewed in the literature (Rieger, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 285; Idson, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), Marcel Dekker, Inc., New York, N.Y., 1988, volume 1, p. 199). Surfactants are typically amphiphilic and comprise a hydrophilic and a hydrophobic portion. The ratio of the hydrophilic to the hydrophobic nature of the surfactant has been termed the hydrophile/lipophile balance (HLB) and is a valuable tool in categorizing and selecting surfactants in the preparation of formulations. Surfactants may be classified into different classes based on the nature of the hydrophilic group: nonionic, anionic, cationic and amphoteric (Rieger, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 285).

[0072] Naturally occurring emulsifiers used in emulsion formulations include lanolin, beeswax, phosphatides, lecithin and acacia. Absorption bases possess hydrophilic properties such that they can soak up water to form w/o emulsions yet retain their semisolid consistencies, such as anhydrous lanolin and hydrophilic petrolatum. Finely divided solids have also been used as good emulsifiers especially in combination with surfactants and in viscous preparations. These include polar inorganic solids, such as heavy metal hydroxides, nonswelling clays such as bentonite, attapulgite, hectorite, kaolin, montmorillonite, colloidal aluminum silicate and colloidal magnesium aluminum silicate, pigments and nonpolar solids such as carbon or glyceryl tristearate.

[0073] A large variety of non-emulsifying materials are also included in emulsion formulations and contribute to the properties of emulsions. These include fats, oils, waxes, fatty acids, fatty alcohols, fatty esters, humectants, hydrophilic colloids, preservatives and antioxidants (Block, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 335; Idson, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 199).

[0074] Hydrophilic colloids or hydrocolloids include naturally occurring gums and synthetic polymers such as polysaccharides (for example, acacia, agar, alginic acid, carrageenan, guar gum, karaya gum, and tragacanth), cellulose derivatives (for example, carboxymethylcellulose and carboxypropylcellulose), and synthetic polymers (for example, carbomers, cellulose ethers, and carboxyvinyl polymers). These disperse or swell in water to form colloidal solutions that stabilize emulsions by forming strong interfacial films around the dispersed-phase droplets and by increasing the viscosity of the external phase.

[0075] Since emulsions often contain a number of ingredients such as carbohydrates, proteins, sterols and phosphatides that may readily support the growth of microbes, these formulations often incorporate preservatives. Commonly used preservatives included in emulsion formulations include methyl paraben, propyl paraben, quaternary ammonium salts, benzalkonium chloride, esters of p-hydroxybenzoic acid, and boric acid. Antioxidants are also commonly added to emulsion formulations to prevent deterioration of the formulation. Antioxidants used may be free radical scavengers such as tocopherols, alkyl gallates, butylated hydroxyanisole, butylated hydroxytoluene, or reducing agents such as ascorbic acid and sodium metabisulfite, and antioxidant synergists such as citric acid, tartaric acid, and lecithin.

[0076] The application of emulsion formulations via dermatological, oral and parenteral routes and methods for their manufacture have been reviewed in the literature (Idson, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 199). Emulsion formulations for oral delivery have been very widely used because of reasons of ease of formulation, efficacy from an absorption and bioavailability standpoint. (Rosoff, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 245; Idson, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 199). Mineral-oil base laxatives, oil-soluble vitamins and high fat nutritive preparations are among the materials that have commonly been administered orally as o/w emulsions.

[0077] In one embodiment of the present invention, the compositions of oligonucleotides and nucleic acids are formulated as microemulsions. A microemulsion may be defined as a system of water, oil and amphiphile which is a single optically isotropic and thermodynamically stable liquid solution (Rosoff, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 245). Typically microemulsions are systems that are prepared by first dispersing an oil in an aqueous surfactant solution and then adding a sufficient amount of a fourth component, generally an intermediate chain-length alcohol to form a transparent system. Therefore, microemulsions have also been described as thermodynamically stable, isotropically clear dispersions of two immiscible liquids that are stabilized by interfacial films of surface-active molecules (Leung and Shah, in: Controlled Release of Drugs: Polymers and Aggregate Systems, Rosoff, M., Ed., 1989, VCH Publishers, New York, pages 185-215). Microemulsions commonly are prepared via a combination of three to five components that include oil, water, surfactant, cosurfactant and electrolyte. Whether the microemulsion is of the water-in-oil (w/o) or an oil-in-water (o/w) type is dependent on the properties of the oil and surfactant used and on the structure and geometric packing of the polar heads and hydrocarbon tails of the surfactant molecules (Schott, in Remington's Pharmaceutical Sciences, Mack Publishing Co., Easton, Pa., 1985, p. 271).

[0078] The phenomenological approach utilizing phase diagrams has been extensively studied and has yielded a comprehensive knowledge, to one skilled in the art, of how to formulate microemulsions (Rosoff, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 245; Block, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 335). Compared to conventional emulsions, microemulsions offer the advantage of solubilizing water-insoluble drugs in a formulation of thermodynamically stable droplets that are formed spontaneously.

[0079] Surfactants used in the preparation of microemulsions include, but are not limited to, ionic surfactants, non-ionic surfactants, Brij 96, polyoxyethylene oleyl ethers, polyglycerol fatty acid esters, tetraglycerol monolaurate (ML310), tetraglycerol monooleate (MO310), hexaglycerol monooleate (PO310), hexaglycerol pentaoleate (PO500), decaglycerol monocaprate (MCA750), decaglycerol monooleate (MO750), decaglycerol sequioleate (SO750), decaglycerol decaoleate (DAO750), alone or in combination with cosurfactants. The cosurfactant, usually a short-chain alcohol such as ethanol, 1-propanol, and 1-butanol, serves to increase the interfacial fluidity by penetrating into the surfactant film and consequently creating a disordered film because of the void space generated among surfactant molecules. Microemulsions may, however, be prepared without the use of cosurfactants and alcohol-free self-emulsifying microemulsion systems are known in the art. The aqueous phase may typically be, but is not limited to, water, an aqueous solution of the drug, glycerol, PEG300, PEG400, polyglycerols, propylene glycols, and derivatives of ethylene glycol. The oil phase may include, but is not limited to, materials such as Captex 300, Captex 355, Capmul MCM, fatty acid esters, medium chain (C8-C12) mono, di, and tri-glycerides, polyoxyethylated glyceryl fatty acid esters, fatty alcohols, polyglycolized glycerides, saturated polyglycolized C8-C10 glycerides, vegetable oils and silicone oil.

[0080] Microemulsions are particularly of interest from the standpoint of drug solubilization and the enhanced absorption of drugs. Lipid based microemulsions (both o/w and w/o) have been proposed to enhance the oral bioavailability of drugs, including peptides (Constantinides et al., Pharmaceutical Research, 1994, 11, 1385-1390; Ritschel, Meth. Find. Exp. Clin. Pharmacol., 1993, 13, 205). Microemulsions afford advantages of improved drug solubilization, protection of drug from enzymatic hydrolysis, possible enhancement of drug absorption due to surfactant-induced alterations in membrane fluidity and permeability, ease of preparation, ease of oral administration over solid dosage forms, improved clinical potency, and decreased toxicity (Constantinides et al., Pharmaceutical Research, 1994, 11, 1385; Ho et al., J. Pharm. Sci., 1996, 85, 138-143). Often microemulsions may form spontaneously when their components are brought together at ambient temperature. This may be particularly advantageous when formulating thermolabile drugs, peptides or oligonucleotides. Microemulsions have also been effective in the transdermal delivery of active components in both cosmetic and pharmaceutical applications. It is expected that the microemulsion compositions and formulations of the present invention will facilitate the increased systemic absorption of oligonucleotides and nucleic acids from the gastrointestinal tract, as well as improve the local cellular uptake of oligonucleotides and nucleic acids within the gastrointestinal tract, vagina, buccal cavity and other areas of administration.

[0081] Microemulsions of the present invention may also contain additional components and additives such as sorbitan monostearate (Grill 3), Labrasol, and penetration enhancers to improve the properties of the formulation and to enhance the absorption of the oligonucleotides and nucleic acids of the present invention. Penetration enhancers used in the microemulsions of the present invention may be classified as belonging to one of five broad categories—surfactants, fatty acids, bile salts, chelating agents, and non-chelating non-surfactants (Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991, p. 92). Each of these classes has been discussed above.

[0082] Liposomes

[0083] There are many organized surfactant structures besides microemulsions that have been studied and used for the formulation of drugs. These include monolayers, micelles, bilayers and vesicles. Vesicles, such as liposomes, have attracted great interest because of their specificity and the duration of action they offer from the standpoint of drug delivery. As used in the present invention, the term “liposome” means a vesicle composed of amphiphilic lipids arranged in a spherical bilayer or bilayers.

[0084] Liposomes are unilamellar or multilamellar vesicles which have a membrane formed from a lipophilic material and an aqueous interior. The aqueous portion contains the composition to be delivered. Cationic liposomes possess the advantage of being able to fuse to the cell wall. Non-cationic liposomes, although not able to fuse as efficiently with the cell wall, are taken up by macrophages in vivo.

[0085] In order to cross intact mammalian skin, lipid vesicles must pass through a series of fine pores, each with a diameter less than 50 nm, under the influence of a suitable transdermal gradient. Therefore, it is desirable to use a liposome which is highly deformable and able to pass through such fine pores.

[0086] Further advantages of liposomes include; liposomes obtained from natural phospholipids are biocompatible and biodegradable; liposomes can incorporate a wide range of water and lipid soluble drugs; liposomes can protect encapsulated drugs in their internal compartments from metabolism and degradation (Rosoff, in Pharmaceutical Dosage Forms, Lieberman, Rieger and Banker (Eds.), 1988, Marcel Dekker, Inc., New York, N.Y., volume 1, p. 245). Important considerations in the preparation of liposome formulations are the lipid surface charge, vesicle size and the aqueous volume of the liposomes.

[0087] Liposomes are useful for the transfer and delivery of active ingredients to the site of action. Because the liposomal membrane is structurally similar to biological membranes, when liposomes are applied to a tissue, the liposomes start to merge with the cellular membranes. As the merging of the liposome and cell progresses, the liposomal contents are emptied into the cell where the active agent may act.

[0088] Liposomal formulations have been the focus of extensive investigation as the mode of delivery for many drugs. There is growing evidence that for topical administration, liposomes present several advantages over other formulations. Such advantages include reduced side-effects related to high systemic absorption of the administered drug, increased accumulation of the administered drug at the desired target, and the ability to administer a wide variety of drugs, both hydrophilic and hydrophobic, into the skin.

[0089] Several reports have detailed the ability of liposomes to deliver agents including high-molecular weight DNA into the skin. Compounds including analgesics, antibodies, hormones and high-molecular weight DNAs have been administered to the skin. The majority of applications resulted in the targeting of the upper epidermis.

[0090] Liposomes fall into two broad classes. Cationic liposomes are positively charged liposomes which interact with the negatively charged DNA molecules to form a stable complex. The positively charged DNA/liposome complex binds to the negatively charged cell surface and is internalized in an endosome. Due to the acidic pH within the endosome, the liposomes are ruptured, releasing their contents into the cell cytoplasm (Wang et al., Biochem. Biophys. Res. Commun., 1987, 147, 980-985).

[0091] Liposomes which are pH-sensitive or negatively-charged, entrap DNA rather than complex with it. Since both the DNA and the lipid are similarly charged, repulsion rather than complex formation occurs. Nevertheless, some DNA is entrapped within the aqueous interior of these liposomes. pH-sensitive liposomes have been used to deliver DNA encoding the thymidine kinase gene to cell monolayers in culture. Expression of the exogenous gene was detected in the target cells (Zhou et al., Journal of Controlled Release, 1992, 19, 269-274).

[0092] One major type of liposomal composition includes phospholipids other than naturally-derived phosphatidylcholine. Neutral liposome compositions, for example, can be formed from dimyristoyl phosphatidylcholine (DMPC) or dipalmitoyl phosphatidylcholine (DPPC). Anionic liposome compositions generally are formed from dimyristoyl phosphatidylglycerol, while anionic fusogenic liposomes are formed primarily from dioleoyl phosphatidylethanolamine (DOPE). Another type of liposomal composition is formed from phosphatidylcholine (PC) such as, for example, soybean PC, and egg PC. Another type is formed from mixtures of phospholipid and/or phosphatidylcholine and/or cholesterol.

[0093] Several studies have assessed the topical delivery of liposomal drug formulations to the skin. Application of liposomes containing interferon to guinea pig skin resulted in a reduction of skin herpes sores while delivery of interferon via other means (e.g. as a solution or as an emulsion) were ineffective (Weiner et al., Journal of Drug Targeting, 1992, 2, 405-410). Further, an additional study tested the efficacy of interferon administered as part of a liposomal formulation to the administration of interferon using an aqueous system, and concluded that the liposomal formulation was superior to aqueous administration (du Plessis et al., Antiviral Research, 1992, 18, 259-265).

[0094] Non-ionic liposomal systems have also been examined to determine their utility in the delivery of drugs to the skin, in particular systems comprising non-ionic surfactant and cholesterol. Non-ionic liposomal formulations comprising Novasome™ I (glyceryl dilaurate/cholesterol/polyoxyethylene-10-stearyl ether) and Novasome™ II (glyceryl distearate/cholesterol/polyoxyethylene-10-stearyl ether) were used to deliver cyclosporin-A into the dermis of mouse skin. Results indicated that such non-ionic liposomal systems were effective in facilitating the deposition of cyclosporin-A into different layers of the skin (Hu et al. S.T.P.Pharma. Sci., 1994, 4, 6, 466).

[0095] Liposomes also include “sterically stabilized” liposomes, a term which, as used herein, refers to liposomes comprising one or more specialized lipids that, when incorporated into liposomes, result in enhanced circulation lifetimes relative to liposomes lacking such specialized lipids. Examples of sterically stabilized liposomes are those in which part of the vesicle-forming lipid portion of the liposome (A) comprises one or more glycolipids, such as monosialoganglioside G_(M1), or (B) is derivatized with one or more hydrophilic polymers, such as a polyethylene glycol (PEG) moiety. While not wishing to be bound by any particular theory, it is thought in the art that, at least for sterically stabilized liposomes containing gangliosides, sphingomyelin, or PEG-derivatized lipids, the enhanced circulation half-life of these sterically stabilized liposomes derives from a reduced uptake into cells of the reticuloendothelial system (RES) (Allen et al., FEBS Letters, 1987, 223, 42; Wu et al., Cancer Research, 1993, 53, 3765).

[0096] Various liposomes comprising one or more glycolipids are known in the art. Papahadjopoulos et al. (Ann. N.Y. Acad. Sci., 1987, 507, 64) reported the ability of monosialoganglioside G_(M1), galactocerebroside sulfate and phosphatidylinositol to improve blood half-lives of liposomes. These findings were expounded upon by Gabizon et al. (Proc. Natl. Acad. Sci. U.S.A., 1988, 85, 6949). U.S. Pat. No. 4,837,028 and WO 88/04924, both to Allen et al., disclose liposomes comprising (1) sphingomyelin and (2) the ganglioside G_(M1) or a galactocerebroside sulfate ester. U.S. Pat. No. 5,543,152 (Webb et al.) discloses liposomes comprising sphingomyelin. Liposomes comprising 1,2-sn-dimyristoylphosphatidylcholine are disclosed in WO 97/13499 (Lim et al.).

[0097] Many liposomes comprising lipids derivatized with one or more hydrophilic polymers, and methods of preparation thereof, are known in the art. Sunamoto et al. (Bull. Chem. Soc. Jpn., 1980, 53, 2778) described liposomes comprising a nonionic detergent, 2C₁₂15G, that contains a PEG moiety. Illum et al. (FEBS Lett., 1984, 167, 79) noted that hydrophilic coating of polystyrene particles with polymeric glycols results in significantly enhanced blood half-lives. Synthetic phospholipids modified by the attachment of carboxylic groups of polyalkylene glycols (e.g., PEG) are described by Sears (U.S. Pat. Nos. 4,426,330 and 4,534,899). Klibanov et al. (FEBS Lett., 1990, 268, 235) described experiments demonstrating that liposomes comprising phosphatidylethanolamine (PE) derivatized with PEG or PEG stearate have significant increases in blood circulation half-lives. Blume et al. (Biochimica et Biophysica Acta, 1990, 1029, 91) extended such observations to other PEG-derivatized phospholipids, e.g., DSPE-PEG, formed from the combination of distearoylphosphatidylethanolamine (DSPE) and PEG. Liposomes having covalently bound PEG moieties on their external surface are described in European Patent No. EP 0 445 131 B1 and WO 90/04384 to Fisher. Liposome compositions containing 1-20 mole percent of PE derivatized with PEG, and methods of use thereof, are described by Woodle et al. (U.S. Pat. Nos. 5,013,556 and 5,356,633) and Martin et al. (U.S. Pat. No. 5,213,804 and European Patent No. EP 0 496 813 B1). Liposomes comprising a number of other lipid-polymer conjugates are disclosed in WO 91/05545 and U.S. Pat. No. 5,225,212 (both to Martin et al.) and in WO 94/20073 (Zalipsky et al.) Liposomes comprising PEG-modified ceramide lipids are described in WO 96/10391 (Choi et al.). U.S. Pat. Nos. 5,540,935 (Miyazaki et al.) and 5,556,948 (Tagawa et al.) describe PEG-containing liposomes that can be further derivatized with functional moieties on their surfaces.

[0098] A limited number of liposomes comprising nucleic acids are known in the art. WO 96/40062 to Thierry et al. discloses methods for encapsulating high molecular weight nucleic acids in liposomes. U.S. Pat. No. 5,264,221 to Tagawa et al. discloses protein-bonded liposomes and asserts that the contents of such liposomes may include an antisense RNA. U.S. Pat. No. 5,665,710 to Rahman et al. describes certain methods of encapsulating oligodeoxynucleotides in liposomes. WO 97/04787 to Love et al. discloses liposomes comprising antisense oligonucleotides targeted to the raf gene.

[0099] Transfersomes are yet another type of liposomes, and are highly deformable lipid aggregates which are attractive candidates for drug delivery vehicles. Transfersomes may be described as lipid droplets which are so highly deformable that they are easily able to penetrate through pores which are smaller than the droplet. Transfersomes are adaptable to the environment in which they are used, e.g. they are self-optimizing (adaptive to the shape of pores in the skin), self-repairing, frequently reach their targets without fragmenting, and often self-loading. To make transfersomes it is possible to add surface edge-activators, usually surfactants, to a standard liposomal composition. Transfersomes have been used to deliver serum albumin to the skin. The transfersome-mediated delivery of serum albumin has been shown to be as effective as subcutaneous injection of a solution containing serum albumin.

[0100] Surfactants find wide application in formulations such as emulsions (including microemulsions) and liposomes. The most common way of classifying and ranking the properties of the many different types of surfactants, both natural and synthetic, is by the use of the hydrophile/lipophile balance (HLB). The nature of the hydrophilic group (also known as the “head”) provides the most useful means for categorizing the different surfactants used in formulations (Rieger, in Pharmaceutical Dosage Forms, Marcel Dekker, Inc., New York, N.Y., 1988, p. 285).

[0101] If the surfactant molecule is not ionized, it is classified as a nonionic surfactant. Nonionic surfactants find wide application in pharmaceutical and cosmetic products and are usable over a wide range of pH values. In general their HLB values range from 2 to about 18 depending on their structure. Nonionic surfactants include nonionic esters such as ethylene glycol esters, propylene glycol esters, glyceryl esters, polyglyceryl esters, sorbitan esters, sucrose esters, and ethoxylated esters. Nonionic alkanolamides and ethers such as fatty alcohol ethoxylates, propoxylated alcohols, and ethoxylated/propoxylated block polymers are also included in this class. The polyoxyethylene surfactants are the most popular members of the nonionic surfactant class.

[0102] If the surfactant molecule carries a negative charge when it is dissolved or dispersed in water, the surfactant is classified as anionic. Anionic surfactants include carboxylates such as soaps, acyl lactylates, acyl amides of amino acids, esters of sulfuric acid such as alkyl sulfates and ethoxylated alkyl sulfates, sulfonates such as alkyl benzene sulfonates, acyl isethionates, acyl taurates and sulfosuccinates, and phosphates. The most important members of the anionic surfactant class are the alkyl sulfates and the soaps.

[0103] If the surfactant molecule carries a positive charge when it is dissolved or dispersed in water, the surfactant is classified as cationic. Cationic surfactants include quaternary ammonium salts and ethoxylated amines. The quaternary ammonium salts are the most used members of this class.

[0104] If the surfactant molecule has the ability to carry either a positive or negative charge, the surfactant is classified as amphoteric. Amphoteric surfactants include acrylic acid derivatives, substituted alkylamides, N-alkylbetaines and phosphatides.

[0105] The use of surfactants in drug products, formulations and in emulsions has been reviewed (Rieger, in Pharmaceutical Dosage Forms, Marcel Dekker, Inc., New York, N.Y., 1988, p. 285).

[0106] Penetration Enhancers

[0107] In one embodiment, the present invention employs various penetration enhancers to effect the efficient delivery of nucleic acids, particularly oligonucleotides, to the skin of animals. Most drugs are present in solution in both ionized and nonionized forms. However, usually only lipid soluble or lipophilic drugs readily cross cell membranes. It has been discovered that even non-lipophilic drugs may cross cell membranes if the membrane to be crossed is treated with a penetration enhancer. In addition to aiding the diffusion of non-lipophilic drugs across cell membranes, penetration enhancers also enhance the permeability of lipophilic drugs.

[0108] Penetration enhancers may be classified as belonging to one of five broad categories, i.e., surfactants, fatty acids, bile salts, chelating agents, and non-chelating non-surfactants (Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991, p.92). Each of the above mentioned classes of penetration enhancers are described below in greater detail.

[0109] Surfactants: In connection with the present invention, surfactants (or “surface-active agents”) are chemical entities which, when dissolved in an aqueous solution, reduce the surface tension of the solution or the interfacial tension between the aqueous solution and another liquid, with the result that absorption of oligonucleotides through the mucosa is enhanced. In addition to bile salts and fatty acids, these penetration enhancers include, for example, sodium lauryl sulfate, polyoxyethylene-9-lauryl ether and polyoxyethylene-20-cetyl ether) (Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991, p.92); and perfluorochemical emulsions, such as FC-43. Takahashi et al., J. Pharm. Pharmacol., 1988, 40, 252).

[0110] Fatty acids: Various fatty acids and their derivatives which act as penetration enhancers include, for example, oleic acid, lauric acid, capric acid (n-decanoic acid), myristic acid, palmitic acid, stearic acid, linoleic acid, linolenic acid, dicaprate, tricaprate, monoolein (1-monooleoyl-rac-glycerol), dilaurin, caprylic acid, arachidonic acid, glycerol 1-monocaprate, 1-dodecylazacycloheptan-2-one, acylcarnitines, acylcholines, C₁₋₁₀ alkyl esters thereof (e.g., methyl, isopropyl and t-butyl), and mono- and di-glycerides thereof (i.e., oleate, laurate, caprate, myristate, palmitate, stearate, linoleate, etc.) (Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991, p.92; Muranishi, Critical Reviews in Therapeutic Drug Carrier Systems, 1990, 7, 1-33; El Hariri et al., J. Pharm. Pharmacol., 1992, 44, 651-654).

[0111] Bile salts: The physiological role of bile includes the facilitation of dispersion and absorption of lipids and fat-soluble vitamins (Brunton, Chapter 38 in: Goodman & Gilman's The Pharmacological Basis of Therapeutics, 9th Ed., Hardman et al. Eds., McGraw-Hill, New York, 1996, pp. 934-935). Various natural bile salts, and their synthetic derivatives, act as penetration enhancers. Thus the term “bile salts” includes any of the naturally occurring components of bile as well as any of their synthetic derivatives. The bile salts of the invention include, for example, cholic acid (or its pharmaceutically acceptable sodium salt, sodium cholate), dehydrocholic acid (sodium dehydrocholate), deoxycholic acid (sodium deoxycholate), glucholic acid (sodium glucholate), glycholic acid (sodium glycocholate), glycodeoxycholic acid (sodium glycodeoxycholate), taurocholic acid (sodium taurocholate), taurodeoxycholic acid (sodium taurodeoxycholate), chenodeoxycholic acid (sodium chenodeoxycholate), ursodeoxycholic acid (UDCA), sodium tauro-24,25-dihydro-fusidate (STDHF), sodium glycodihydrofusidate and polyoxyethylene-9-lauryl ether (POE) (Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991, page 92; Swinyard, Chapter 39 In: Remington's Pharmaceutical Sciences, 18th Ed., Gennaro, ed., Mack Publishing Co., Easton, Pa., 1990, pages 782-783; Muranishi, Critical Reviews in Therapeutic Drug Carrier Systems, 1990, 7, 1-33; Yamamoto et al., J. Pharm. Exp. Ther., 1992, 263, 25; Yamashita et al., J. Pharm. Sci., 1990, 79, 579-583).

[0112] Chelating Agents: Chelating agents, as used in connection with the present invention, can be defined as compounds that remove metallic ions from solution by forming complexes therewith, with the result that absorption of oligonucleotides through the mucosa is enhanced. With regards to their use as penetration enhancers in the present invention, chelating agents have the added advantage of also serving as DNase inhibitors, as most characterized DNA nucleases require a divalent metal ion for catalysis and are thus inhibited by chelating agents (Jarrett, J. Chromatogr., 1993, 618, 315-339). Chelating agents of the invention include but are not limited to disodium ethylenediaminetetraacetate (EDTA), citric acid, salicylates (e.g., sodium salicylate, 5-methoxysalicylate and homovanilate), N-acyl derivatives of collagen, laureth-9 and N-amino acyl derivatives of beta-diketones (enamines)(Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991, page 92; Muranishi, Critical Reviews in Therapeutic Drug Carrier Systems, 1990, 7, 1-33; Buur et al., J. Control Rel., 1990, 14, 43-51).

[0113] Non-chelating non-surfactants: As used herein, non-chelating non-surfactant penetration enhancing compounds can be defined as compounds that demonstrate insignificant activity as chelating agents or as surfactants but that nonetheless enhance absorption of oligonucleotides through the alimentary mucosa (Muranishi, Critical Reviews in Therapeutic Drug Carrier Systems, 1990, 7, 1-33). This class of penetration enhancers include, for example, unsaturated cyclic ureas, 1-alkyl- and 1-alkenylazacyclo-alkanone derivatives (Lee et al., Critical Reviews in Therapeutic Drug Carrier Systems, 1991, page 92); and non-steroidal anti-inflammatory agents such as diclofenac sodium, indomethacin and phenylbutazone (Yamashita et al., J. Pharm. Pharmacol., 1987, 39, 621-626)

[0114] Agents that enhance uptake of oligonucleotides at the cellular level may also be added to the pharmaceutical and other compositions of the present invention. For example, cationic lipids, such as lipofectin (Junichi et al, U.S. Pat. No. 5,705,188), cationic glycerol derivatives, and polycationic molecules, such as polylysine (Lollo et al., PCT Application WO 97/30731), are also known to enhance the cellular uptake of oligonucleotides.

[0115] Other agents may be utilized to enhance the penetration of the administered nucleic acids, including glycols such as ethylene glycol and propylene glycol, pyrrols such as 2-pyrrol, azones, and terpenes such as limonene and menthone.

[0116] Carriers

[0117] Certain compositions of the present invention also incorporate carrier compounds in the formulation. As used herein, “carrier compound” or “carrier” can refer to a nucleic acid, or analog thereof, which is inert (i.e., does not possess biological activity per se) but is recognized as a nucleic acid by in vivo processes that reduce the bioavailability of a nucleic acid having biological activity by, for example, degrading the biologically active nucleic acid or promoting its removal from circulation. The coadministration of a nucleic acid and a carrier compound, typically with an excess of the latter substance, can result in a substantial reduction of the amount of nucleic acid recovered in the liver, kidney or other extracirculatory reservoirs, presumably due to competition between the carrier compound and the nucleic acid for a common receptor. For example, the recovery of a partially phosphorothioate oligonucleotide in hepatic tissue can be reduced when it is coadministered with polyinosinic acid, dextran sulfate, polycytidic acid or 4-acetamido-4′isothiocyano-stilbene-2,2′-disulfonic acid (Miyao et al., Antisense Res. Dev., 1995, 5, 115-121; Takakura et al., Antisense & Nucl. Acid Drug Dev., 1996, 6, 177-183).

[0118] Excipients

[0119] In contrast to a carrier compound, a “pharmaceutical carrier” or “excipient” is a pharmaceutically acceptable solvent, suspending agent or any other pharmacologically inert vehicle for delivering one or more nucleic acids to an animal. The excipient may be liquid or solid and is selected, with the planned manner of administration in mind, so as to provide for the desired bulk, consistency, etc., when combined with a nucleic acid and the other components of a given pharmaceutical composition. Typical pharmaceutical carriers include, but are not limited to, binding agents (e.g., pregelatinized maize starch, polyvinylpyrrolidone or hydroxypropyl methylcellulose, etc.); fillers (e.g., lactose and other sugars, microcrystalline cellulose, pectin, gelatin, calcium sulfate, ethyl cellulose, polyacrylates or calcium hydrogen phosphate, etc.); lubricants (e.g., magnesium stearate, talc, silica, colloidal silicon dioxide, stearic acid, metallic stearates, hydrogenated vegetable oils, corn starch, polyethylene glycols, sodium benzoate, sodium acetate, etc.); disintegrants (e.g., starch, sodium starch glycolate, etc.); and wetting agents (e.g., sodium lauryl sulphate, etc.).

[0120] Pharmaceutically acceptable organic or inorganic excipient suitable for non-parenteral administration which do not deleteriously react with nucleic acids can also be used to formulate the compositions of the present invention. Suitable pharmaceutically acceptable carriers include, but are not limited to, water, salt solutions, alcohols, polyethylene glycols, gelatin, lactose, amylose, magnesium stearate, talc, silicic acid, viscous paraffin, hydroxymethylcellulose, polyvinylpyrrolidone and the like.

[0121] Formulations for topical administration of nucleic acids may include sterile and non-sterile aqueous solutions, non-aqueous solutions in common solvents such as alcohols, or solutions of the nucleic acids in liquid or solid oil bases. The solutions may also contain buffers, diluents and other suitable additives. Pharmaceutically acceptable organic or inorganic excipients suitable for non-parenteral administration which do not deleteriously react with nucleic acids can be used.

[0122] Suitable pharmaceutically acceptable excipients include, but are not limited to, water, salt solutions, alcohol, polyethylene glycols, gelatin, lactose, amylose, magnesium stearate, talc, silicic acid, viscous paraffin, hydroxymethylcellulose, polyvinylpyrrolidone and the like.

[0123] Other Components

[0124] The compositions of the present invention may additionally contain other adjunct components conventionally found in pharmaceutical compositions, at their art-established usage levels. Thus, for example, the compositions may contain additional, compatible, pharmaceutically-active materials such as, for example, antipruritics, astringents, local anesthetics or anti-inflammatory agents, or may contain additional materials useful in physically formulating various dosage forms of the compositions of the present invention, such as dyes, flavoring agents, preservatives, antioxidants, opacifiers, thickening agents and stabilizers. However, such materials, when added, should not unduly interfere with the biological activities of the components of the compositions of the present invention. The formulations can be sterilized and, if desired, mixed with auxiliary agents, e.g., lubricants, preservatives, stabilizers, wetting agents, emulsifiers, salts for influencing osmotic pressure, buffers, colorings, flavorings and/or aromatic substances and the like which do not deleteriously interact with the nucleic acid(s) of the formulation.

[0125] Aqueous suspensions may contain substances which increase the viscosity of the suspension including, for example, sodium carboxymethylcellulose, sorbitol and/or dextran. The suspension may also contain stabilizers.

[0126] Certain embodiments of the invention provide pharmaceutical compositions containing (a) one or more antisense compounds and (b) one or more other chemotherapeutic agents which function by a non-antisense mechanism. Examples of such chemotherapeutic agents include but are not limited to daunorubicin, daunomycin, dactinomycin, doxorubicin, epirubicin, idarubicin, esorubicin, bleomycin, mafosfamide, ifosfamide, cytosine arabinoside, bis-chloroethylnitrosurea, busulfan, mitomycin C, actinomycin D, mithramycin, prednisone, hydroxyprogesterone, testosterone, tamoxifen, dacarbazine, procarbazine, hexamethylmelamine, pentamethylmelamine, mitoxantrone, amsacrine, chlorambucil, methylcyclohexylnitrosurea, nitrogen mustards, melphalan, cyclophosphamide, 6-mercaptopurine, 6-thioguanine, cytarabine, 5-azacytidine, hydroxyurea, deoxycoformycin, 4-hydroxyperoxycyclophosphoramide, 5-fluorouracil (5-FU), 5-fluorodeoxyuridine (5-FUdR), methotrexate (MTX), colchicine, taxol, vincristine, vinblastine, etoposide (VP-16), trimetrexate, irinotecan, topotecan, gemcitabine, teniposide, cisplatin and diethylstilbestrol (DES). See, generally, The Merck Manual of Diagnosis and Therapy, 15th Ed. 1987, pp. 1206-1228, Berkow et al., eds., Rahway, N.J. When used with the compounds of the invention, such chemotherapeutic agents may be used individually (e.g., 5-FU and oligonucleotide), sequentially (e.g., 5-FU and oligonucleotide for a period of time followed by MTX and oligonucleotide), or in combination with one or more other such chemotherapeutic agents (e.g., 5-FU, MTX and oligonucleotide, or 5-FU, radiotherapy and oligonucleotide). Anti-inflammatory drugs, including but not limited to nonsteroidal anti-inflammatory drugs and corticosteroids, and antiviral drugs, including but not limited to ribivirin, vidarabine, acyclovir and ganciclovir, may also be combined in compositions of the invention. See, generally, The Merck Manual of Diagnosis and Therapy, 15th Ed., Berkow et al., eds., 1987, Rahway, N.J., pages 2499-2506 and 46-49, respectively). Other non-antisense chemotherapeutic agents are also within the scope of this invention. Two or more combined compounds may be used together or sequentially.

[0127] In another related embodiment, compositions of the invention may contain one or more antisense compounds, particularly oligonucleotides, targeted to a first nucleic acid and one or more additional antisense compounds targeted to a second nucleic acid target. Numerous examples of antisense compounds are known in the art. Two or more combined compounds may be used together or sequentially.

[0128] The formulation of therapeutic compositions and their subsequent administration is believed to be within the skill of those in the art. Dosing is dependent on severity and responsiveness of the disease state to be treated, with the course of treatment lasting from several days to several months, or until a cure is effected or a diminution of the disease state is achieved. Optimal dosing schedules can be calculated from measurements of drug accumulation in the body of the patient. Persons of ordinary skill can easily determine optimum dosages, dosing methodologies and repetition rates. Optimum dosages may vary depending on the relative potency of individual oligonucleotides, and can generally be estimated based on EC₅₀s found to be effective in in vitro and in vivo animal models. In general, dosage is from 0.01 ug to 100 g per kg of body weight, and may be given once or more daily, weekly, monthly or yearly, or even once every 2 to 20 years. Persons of ordinary skill in the art can easily estimate repetition rates for dosing based on measured residence times and concentrations of the drug in bodily fluids or tissues. Following successful treatment, it may be desirable to have the patient undergo maintenance therapy to prevent the recurrence of the disease state, wherein the oligonucleotide is administered in maintenance doses, ranging from 0.01 ug to 100 g per kg of body weight, once or more daily, to once every 20 years.

[0129] While the present invention has been described with specificity in accordance with certain of its preferred embodiments, the following examples serve only to illustrate the invention and are not intended to limit the same.

EXAMPLES Example 1

[0130] Nucleoside Phosphoramidites for Oligonucleotide Synthesis Deoxy and 2′-alkoxy Amidites

[0131] 2′-Deoxy and 2′-methoxy beta-cyanoethyldiisopropyl phosphoramidites were purchased from commercial sources (e.g. Chemgenes, Needham Mass. or Glen Research, Inc. Sterling Va.). Other 2′-O-alkoxy substituted nucleoside amidites are prepared as described in U.S. Pat. No. 5,506,351, herein incorporated by reference. For oligonucleotides synthesized using 2′-alkoxy amidites, the standard cycle for unmodified oligonucleotides was utilized, except the wait step after pulse delivery of tetrazole and base was increased to 360 seconds.

[0132] Oligonucleotides containing 5-methyl-2′-deoxycytidine (5-Me-C) nucleotides were synthesized according to published methods [Sanghvi, et. al., Nucleic Acids Research, 1993, 21, 3197-3203] using commercially available phosphoramidites (Glen Research, Sterling Va. or ChemGenes, Needham Mass.).

[0133] 2′-Fluoro Amidites

[0134] 2′-Fluorodeoxyadenosine Amidites

[0135] 2′-fluoro oligonucleotides were synthesized as described previously [Kawasaki, et. al., J. Med. Chem., 1993, 36, 831-841] and U.S. Pat. No. 5,670,633, herein incorporated by reference. Briefly, the protected nucleoside N6-benzoyl -2′-deoxy-2′-fluoroadenosine was synthesized utilizing commercially available 9-beta-D-arabinofuranosyladenine as starting material and by modifying literature procedures whereby the 2′-alpha-fluoro atom is introduced by a S_(N)2-displacement of a 2′-beta-trityl group. Thus N6-benzoyl-9-beta-D-arabinofuranosyladenine was selectively protected in moderate yield as the 3′,5′-ditetrahydropyranyl (THP) intermediate. Deprotection of the THP and N6-benzoyl groups was accomplished using standard methodologies and standard methods were used to obtain the 5′-dimethoxytrityl-(DMT) and 5′-DMT-3′-phosphoramidite intermediates.

[0136] 2′-Fluorodeoxyguanosine

[0137] The synthesis of 2′-deoxy-2′-fluoroguanosine was accomplished using tetraisopropyldisiloxanyl (TPDS) protected 9-beta-D-arabinofuranosylguanine as starting material, and conversion to the intermediate diisobutyrylarabinofuranosylguanosine. Deprotection of the TPDS group was followed by protection of the hydroxyl group with THP to give diisobutyryl di-THP protected arabinofuranosylguanine. Selective O-deacylation and triflation was followed by treatment of the crude product with fluoride, then deprotection of the THP groups. Standard methodologies were used to obtain the 5′-DMT- and 5′-DMT-3′-phosphoramidites.

[0138] 2′-Fluorouridine

[0139] Synthesis of 2′-deoxy-2′-fluorouridine was accomplished by the modification of a literature procedure in which 2,2′-anhydro-1-beta-D-arabinofuranosyluracil was treated with 70% hydrogen fluoride-pyridine. Standard procedures were used to obtain the 5′-DMT and 5′-DMT-3′phosphoramidites.

[0140] 2′-Fluorodeoxycytidine

[0141] 2′-deoxy-2′-fluorocytidine was synthesized via amination of 2′-deoxy-2′-fluorouridine, followed by selective protection to give N4-benzoyl-2′-deoxy-2′-fluorocytidine. Standard procedures were used to obtain the 5′-DMT and 5′-DMT-3′phosphoramidites.

[0142] 2′-O-(2-Methoxyethyl) Modified Amidites

[0143] 2′-O-Methoxyethyl-substituted nucleoside amidites are prepared as follows, or alternatively, as per the methods of Martin, P., Helvetica Chimica Acta, 1995, 78, 486-504.

[0144]2,2′-Anhydro[1-(beta-D-arabinofuranosyl)-5-methyluridine]

[0145] 5-Methyluridine (ribosylthymine, commercially available through Yamasa, Choshi, Japan) (72.0 g, 0.279 M), diphenyl-carbonate (90.0 g, 0.420 M) and sodium bicarbonate (2.0 g, 0.024 M) were added to DMF (300 mL). The mixture was heated to reflux, with stirring, allowing the evolved carbon dioxide gas to be released in a controlled manner. After 1 hour, the slightly darkened solution was concentrated under reduced pressure. The resulting syrup was poured into diethylether (2.5 L), with stirring. The product formed a gum. The ether was decanted and the residue was dissolved in a minimum amount of methanol (ca. 400 mL). The solution was poured into fresh ether (2.5 L) to yield a stiff gum. The ether was decanted and the gum was dried in a vacuum oven (60° C. at 1 mm Hg for 24 h) to give a solid that was crushed to a light tan powder (57 g, 85% crude yield). The NMR spectrum was consistent with the structure, contaminated with phenol as its sodium salt (ca. 5%). The material was used as is for further reactions (or it can be purified further by column chromatography using a gradient of methanol in ethyl acetate (10-25%) to give a white solid, mp 222-4° C.).

[0146] 2′-O-Methoxyethyl-5-methyluridine

[0147] 2,2′-Anhydro-5-methyluridine (195 g, 0.81 M), tris(2-methoxyethyl)borate (231 g, 0.98 M) and 2-methoxyethanol (1.2 L) were added to a 2 L stainless steel pressure vessel and placed in a pre-heated oil bath at 160° C. After heating for 48 hours at 155-160° C., the vessel was opened and the solution evaporated to dryness and triturated with MeOH (200 mL). The residue was suspended in hot acetone (1 L). The insoluble salts were filtered, washed with acetone (150 mL) and the filtrate evaporated. The residue (280 g) was dissolved in CH₃CN (600 mL) and evaporated. A silica gel column (3 kg) was packed in CH₂Cl₂/acetone/MeOH (20:5:3) containing 0.5% Et₃NH. The residue was dissolved in CH₂Cl₂ (250 mL) and adsorbed onto silica (150 g) prior to loading onto the column. The product was eluted with the packing solvent to give 160 g (63%) of product. Additional material was obtained by reworking impure fractions.

[0148] 2′-O-Methoxyethyl-5′-O-dimethoxytrityl-5-methyluridine

[0149] 2′-O-Methoxyethyl-5-methyluridine (160 g, 0.506 M) was co-evaporated with pyridine (250 mL) and the dried residue dissolved in pyridine (1.3 L). A first aliquot of dimethoxytrityl chloride (94.3 g, 0.278 M) was added and the mixture stirred at room temperature for one hour. A second aliquot of dimethoxytrityl chloride (94.3 g, 0.278 M) was added and the reaction stirred for an additional one hour. Methanol (170 mL) was then added to stop the reaction. HPLC showed the presence of approximately 70% product. The solvent was evaporated and triturated with CH₃CN (200 mL). The residue was dissolved in CHCl₃ (1.5 L) and extracted with 2×500 mL of saturated NaHCO₃ and 2×500 mL of saturated NaCl. The organic phase was dried over Na₂SO₄, filtered and evaporated. 275 g of residue was obtained. The residue was purified on a 3.5 kg silica gel column, packed and eluted with EtOAc/hexane/acetone (5:5:1) containing 0.5% Et₃NH. The pure fractions were evaporated to give 164 g of product. Approximately 20 g additional was obtained from the impure fractions to give a total yield of 183 g (57%).

[0150] 3′-O-Acetyl-2′-O-methoxyethyl-5′-O-dimethoxytrityl-5-methyluridine

[0151] 2′-O-Methoxyethyl-5′-O-dimethoxytrityl-5-methyluridine (106 g, 0.167 M), DMF/pyridine (750 mL of a 3:1 mixture prepared from 562 mL of DMF and 188 mL of pyridine) and acetic anhydride (24.38 mL, 0.258 M) were combined and stirred at room temperature for 24 hours. The reaction was monitored by TLC by first quenching the TLC sample with the addition of MeOH. Upon completion of the reaction, as judged by TLC, MeOH (50 mL) was added and the mixture evaporated at 35° C. The residue was dissolved in CHCl₃ (800 mL) and extracted with 2×200 mL of saturated sodium bicarbonate and 2×200 mL of saturated NaCl. The water layers were back extracted with 200 mL of CHCl₃. The combined organics were dried with sodium sulfate and evaporated to give 122 g of residue (approx. 90% product). The residue was purified on a 3.5 kg silica gel column and eluted using EtOAc/hexane(4:1). Pure product fractions were evaporated to yield 96 g (84%). An additional 1.5 g was recovered from later fractions.

[0152] 3′-O-Acetyl-2′-O-methoxyethyl-5′-O-dimethoxytrityl-5-methyl-4-triazoleuridine

[0153] A first solution was prepared by dissolving 3¹-O-acetyl -2′-O-methoxyethyl-5′-O-dimethoxytrityl-5-methyluridine (96 g, 0.144 M) in CH₃CN (700 mL) and set aside. Triethylamine (189 mL, 1.44 M) was added to a solution of triazole (90 g, 1.3 M) in CH₃CN (1 L), cooled to −5° C. and stirred for 0.5 h using an overhead stirrer. POCl₃ was added dropwise, over a 30 minute period, to the stirred solution maintained at 0-10° C., and the resulting mixture stirred for an additional 2 hours. The first solution was added dropwise, over a 45 minute period, to the latter solution. The resulting reaction mixture was stored overnight in a cold room. Salts were filtered from the reaction mixture and the solution was evaporated. The residue was dissolved in EtOAc (1 L) and the insoluble solids were removed by filtration. The filtrate was washed with 1×300 mL of NaHCO₃ and 2×300 mL of saturated NaCl, dried over sodium sulfate and evaporated. The residue was triturated with EtOAc to give the title compound.

[0154] 2′-O-Methoxyethyl-5′-O-dimethoxytrityl-5-methylcytidine

[0155] A solution of 3′-O-acetyl-2′-O-methoxyethyl-5′-O-dimethoxytrityl-5-methyl-4-triazoleuridine (103 g, 0.141 M) in dioxane (500 mL) and NH₄OH (30 mL) was stirred at room temperature for 2 hours. The dioxane solution was evaporated and the residue azeotroped with MeOH (2×200 mL). The residue was dissolved in MeOH (300 mL) and transferred to a 2 liter stainless steel pressure vessel. MeOH (400 mL) saturated with NH₃ gas was added and the vessel heated to 100° C. for 2 hours (TLC showed complete conversion). The vessel contents were evaporated to dryness and the residue was dissolved in EtOAc (500 mL) and washed once with saturated NaCl (200 mL). The organics were dried over sodium sulfate and the solvent was evaporated to give 85 g (95%) of the title compound.

[0156] N4-Benzoyl-2′-O-methoxyethyl-5′-O-dimethoxytrityl-5-methylcytidine

[0157] 2′-O-Methoxyethyl-5′-O-dimethoxytrityl-5-methylcytidine (85 g, 0.134 M) was dissolved in DMF (800 mL) and benzoic anhydride (37.2 g, 0.165 M) was added with stirring. After stirring for 3 hours, TLC showed the reaction to be approximately 95% complete. The solvent was evaporated and the residue azeotroped with MeOH (200 mL). The residue was dissolved in CHCl₃ (700 mL) and extracted with saturated NaHCO₃ (2×300 mL) and saturated NaCl (2×300 mL), dried over MgSO₄ and evaporated to give a residue (96 g). The residue was chromatographed on a 1.5 kg silica column using EtOAc/hexane (1:1) containing 0.5% Et₃NH as the eluting solvent. The pure product fractions were evaporated to give 90 g (90%) of the title compound.

[0158] N4-Benzoyl-2′-O-methoxyethyl-5′-O-dimethoxytrityl-5-methylcytidine-3′-amidite

[0159] N4-Benzoyl-2′-O-methoxyethyl-5′-O-dimethoxytrityl-5-methylcytidine (74 g, 0.10 M) was dissolved in CH₂Cl₂ (1 L) Tetrazole diisopropylamine (7.1 g) and 2-cyanoethoxy-tetra-(isopropyl)phosphite (40.5 mL, 0.123 M) were added with stirring, under a nitrogen atmosphere. The resulting mixture was stirred for 20 hours at room temperature (TLC showed the reaction to be 95% complete). The reaction mixture was extracted with saturated NaHCO₃ (1×300 mL) and saturated NaCl (3×300 mL). The aqueous washes were back-extracted with CH₂Cl₂ (300 mL), and the extracts were combined, dried over MgSO₄ and concentrated. The residue obtained was chromatographed on a 1.5 kg silica column using EtOAc/hexane (3:1) as the eluting solvent. The pure fractions were combined to give 90.6 g (87%) of the title compound.

[0160] 2′-O-(Aminooxyethyl) Nucleoside Amidites and 2′-O-(Dimethylaminooxyethyl) Nucleoside Amidites

[0161] 2′-(Dimethylaminooxyethoxy) Nucleoside Amidites

[0162] 2′-(Dimethylaminooxyethoxy) nucleoside amidites [also known in the art as 2′-O-(dimethylaminooxyethyl) nucleoside amidites] are prepared as described in the following paragraphs. Adenosine, cytidine and guanosine nucleoside amidites are prepared similarly to the thymidine (5-methyluridine) except the exocyclic amines are protected with a benzoyl moiety in the case of adenosine and cytidine and with isobutyryl in the case of guanosine.

[0163] 5′-O-tert-Butyldiphenylsilyl-O²-2′-anhydro-5-methyluridine

[0164] O²-2′-anhydro-5-methyluridine (Pro. Bio. Sint., Varese, Italy, 100.0 g, 0.416 mmol), dimethylaminopyridine (0.66 g, 0.013 eq, 0.0054 mmol) were dissolved in dry pyridine (500 ml) at ambient temperature under an argon atmosphere and with mechanical stirring. tert-Butyldiphenylchlorosilane (125.8 g, 119.0 mL, 1.1 eq, 0.458 mmol) was added in one portion. The reaction was stirred for 16 h at ambient temperature. TLC (Rf 0.22, ethyl acetate) indicated a complete reaction. The solution was concentrated under reduced pressure to a thick oil. This was partitioned between dichloromethane (1 L) and saturated sodium bicarbonate (2×1 L) and brine (1 L). The organic layer was dried over sodium sulfate and concentrated under reduced pressure to a thick oil. The oil was dissolved in a 1:1 mixture of ethyl acetate and ethyl ether (600 mL) and the solution was cooled to −10° C. The resulting crystalline product was collected by filtration, washed with ethyl ether (3×200 mL) and dried (40° C., 1 mm Hg, 24 h) to 149 g (74.8%) of white solid. TLC and NMR were consistent with pure product.

[0165] 5′-O-tert-Butyldiphenylsilyl-2′-O-(2-hydroxyethyl)-5-methyluridine

[0166] In a 2 L stainless steel, unstirred pressure reactor was added borane in tetrahydrofuran (1.0 M, 2.0 eq, 622 mL). In the fume hood and with manual stirring, ethylene glycol (350 mL, excess) was added cautiously at first until the evolution of hydrogen gas subsided. 5′-O-tert-Butyldiphenylsilyl-O²-2′-anhydro-5-methyluridine (149 g, 0.311 mol) and sodium bicarbonate (0.074 g, 0.003 eq) were added with manual stirring. The reactor was sealed and heated in an oil bath until an internal temperature of 160° C. was reached and then maintained for 16 h (pressure <100 psig). The reaction vessel was cooled to ambient and opened. TLC (Rf 0.67 for desired product and Rf 0.82 for ara-T side product, ethyl acetate) indicated about 70% conversion to the product. In order to avoid additional side product formation, the reaction was stopped, concentrated under reduced pressure (10 to 1 mm Hg) in a warm water bath (40-100° C.) with the more extreme conditions used to remove the ethylene glycol. [Alternatively, once the low boiling solvent is gone, the remaining solution can be partitioned between ethyl acetate and water. The product will be in the organic phase.] The residue was purified by column chromatography (2 kg silica gel, ethyl acetate-hexanes gradient 1:1 to 4:1). The appropriate fractions were combined, stripped and dried to product as a white crisp foam (84 g, 50%), contaminated starting material (17.4 g) and pure reusable starting material 20 g. The yield based on starting material less pure recovered starting material was 58%. TLC and NMR were consistent with 99% pure product.

[0167] 2′-O-([2-phthalimidoxy)ethyl]-5′-t-butyldiphenylsilyl-5-methyluridine

[0168] 5-O-tert-Butyldiphenylsilyl-2′-O-(2-hydroxyethyl)-5-methyluridine (20 g, 36.98 mmol) was mixed with triphenylphosphine (11.63 g, 44.36 mmol) and N-hydroxyphthalimide (7.24 g, 44.36 mmol). It was then dried over P₂O₅ under high vacuum for two days at 40° C. The reaction mixture was flushed with argon and dry THF (369.8 mL, Aldrich, sure seal bottle) was added to get a clear solution. Diethyl-azodicarboxylate (6.98 mL, 44.36 mmol) was added dropwise to the reaction mixture. The rate of addition is maintained such that resulting deep red coloration is just discharged before adding the next drop. After the addition was complete, the reaction was stirred for 4 hrs. By that time TLC showed the completion of the reaction (ethylacetate:hexane, 60:40). The solvent was evaporated in vacuum. Residue obtained was placed on a flash column and eluted with ethyl acetate:hexane (60:40), to get 2′-O-([2-phthalimidoxy)ethyl]-5′-t-butyldiphenylsilyl-5-methyluridine as white foam (21.819 g, 86%).

[0169] 5′-O-tert-butyldiphenylsilyl-2′-O-[(2-formadoximinooxy)ethyl]-5-methyluridine

[0170] 2′-O-([2-phthalimidoxy)ethyl]-5′-t-butyldiphenylsilyl-5-methyluridine (3.1 g, 4.5 mmol) was dissolved in dry CH₂Cl₂ (4.5 mL) and methylhydrazine (300 mL, 4.64 mmol) was added dropwise at −10° C. to 0° C. After 1 h the mixture was filtered, the filtrate was washed with ice cold CH₂Cl₂ and the combined organic phase was washed with water, brine and dried over anhydrous Na₂SO₄. The solution was concentrated to get 2′-O-(aminooxyethyl) thymidine, which was then dissolved in MeOH (67.5 mL). To this formaldehyde (20% aqueous solution, w/w, 1.1 eq.) was added and the resulting mixture was strirred for 1 h. Solvent was removed under vacuum; residue chromatographed to get 5′-o-tert-butyldiphenylsilyl-2′-O-[(2-formadoximinooxy) ethyl]-5-methyluridine as white foam (1.95 g, 78%).

[0171] 5′-O-tert-Butyldiphenylsilyl-2′-O-[N,N-dimethylaminooxyethyl]-5-methyluridine

[0172] 5′-O-tert-butyldiphenylsilyl-2′-0-[(2-formadoximinooxy)ethyl]-5-methyluridine (1.77 g, 3.12 mmol) was dissolved in a solution of 1M pyridinium p-toluenesulfonate (PPTS) in dry MeOH (30.6 mL). Sodium cyanoborohydride (0.39 g, 6.13 mmol) was added to this solution at 10° C. under inert atmosphere. The reaction mixture was stirred for 10 minutes at 10° C. After that the reaction vessel was removed from the ice bath and stirred at room temperature for 2 h, the reaction monitored by TLC (5% MeOH in CH₂Cl₂). Aqueous NaHCO₃ solution (5%, 10 mL) was added and extracted with ethyl acetate (2×20 mL). Ethyl acetate phase was dried over anhydrous Na₂SO₄, evaporated to dryness. Residue was dissolved in a solution of 1M PPTS in MeOH (30.6 mL). Formaldehyde (20% w/w, 30 mL, 3.37 mmol) was added and the reaction mixture was stirred at room temperature for 10 minutes. Reaction mixture cooled to 10° C. in an ice bath, sodium cyanoborohydride (0.39 g, 6.13 mmol) was added and reaction mixture stirred at 10° C. for 10 minutes. After 10 minutes, the reaction mixture was removed from the ice bath and stirred at room temperature for 2 hrs. To the reaction mixture 5% NaHCO₃ (25 mL) solution was added and extracted with ethyl acetate (2×25 mL). Ethyl acetate layer was dried over anhydrous Na₂SO₄ and evaporated to dryness. The residue obtained was purified by flash column chromatography and eluted with 5% MeOH in CH₂Cl₂ to get 5′-O-tert-butyldiphenylsilyl-2′-O-[N,N-dimethylaminooxyethyl]-5-methyluridine as a white foam (14.6 g, 80%).

[0173] 2′-O-(dimethylaminooxyethyl)-5-methyluridine

[0174] Triethylamine trihydrofluoride (3.91 mL, 24.0 mmol) was dissolved in dry THF and triethylamine (1.67 mL, 12 mmol, dry, kept over KOH). This mixture of triethylamine-2HF was then added to 5′-O-tert-butyldiphenylsilyl-2′-O-[N,N-dimethylaminooxyethyl]-5-methyluridine (1.40 g, 2.4 mmol) and stirred at room temperature for 24 hrs. Reaction was monitored by TLC (5% MeOH in CH₂Cl₂). Solvent was removed under vacuum and the residue placed on a flash column and eluted with 10% MeOH in CH₂C1₂ to get 2′-O-(dimethylaminooxyethyl)-5-methyluridine (766 mg, 92.5%).

[0175] 5′-O-DMT-2′-O-(dimethylaminooxyethyl)-5-methyluridine

[0176] 2′-O-(dimethylaminooxyethyl)-5-methyluridine (750 mg, 2.17 mmol) was dried over P₂O₅ under high vacuum overnight at 40° C. It was then co-evaporated with anhydrous pyridine (20 mL). The residue obtained was dissolved in pyridine (11 mL) under argon atmosphere. 4-dimethylaminopyridine (26.5 mg, 2.60 mmol), 4,4′-dimethoxytrityl chloride (880 mg, 2.60 mmol) was added to the mixture and the reaction mixture was stirred at room temperature until all of the starting material disappeared. Pyridine was removed under vacuum and the residue chromatographed and eluted with 10% MeOH in CH₂Cl₂ (containing a few drops of pyridine) to get 5′-O-DMT-2′-O-(dimethylamino-oxyethyl)-5-methyluridine (1.13 g, 80%).

[0177] 5′-O-DMT-2′-0-(2-N,N-dimethylaminooxyethyl)-5-methyluridine-3′-[(2-cyanoethyl)-N,N-diisopropylphosphoramidite]

[0178] 5-O-DMT-2′-O-(dimethylaminooxyethyl)-5-methyluridine (1.08 g, 1.67 mmol) was co-evaporated with toluene (20 mL). To the residue N,N-diisopropylamine tetrazonide (0.29 g, 1.67 mmol) was added and dried over P₂O₅ under high vacuum overnight at 40° C. Then the reaction mixture was dissolved in anhydrous acetonitrile (8.4 mL) and 2-cyanoethyl-N,N,N¹,N¹-tetraisopropylphosphoramidite (2.12 mL, 6.08 mmol) was added. The reaction mixture was stirred at ambient temperature for 4 hrs under inert atmosphere. The progress of the reaction was monitored by TLC (hexane:ethyl acetate 1:1). The solvent was evaporated, then the residue was dissolved in ethyl acetate (70 mL) and washed with 5% aqueous NaHCO₃ (40 mL). Ethyl acetate layer was dried over anhydrous Na₂SO₄ and concentrated. Residue obtained was chromatographed (ethyl acetate as eluent) to get 5′-O-DMT-2′-O-(2-N,N-dimethylaminooxyethyl) -5-methyluridine-3′-[(2-cyanoethyl)-N,N-diisopropylphosphoramidite] as a foam (1.04 g, 74.9%).

[0179] 2′-(Aminooxyethoxy) Nucleoside Amidites

[0180] 2′-(Aminooxyethoxy) nucleoside amidites [also known in the art as 2′-O-(aminooxyethyl) nucleoside amidites] are prepared as described in the following paragraphs. Adenosine, cytidine and thymidine nucleoside amidites are prepared similarly.

[0181] N2-isobutyryl-6-O-diphenylcarbamoyl-2′-O-(2-ethylacetyl)-5′-O-(4,4′-dimethoxytrityl)guanosine-3′-[(2-cyanoethyl)-N,N-diisopropylphosphoramidite]

[0182] The 2′-O-aminooxyethyl guanosine analog may be obtained by selective 2′-O-alkylation of diaminopurine riboside. Multigram quantities of diaminopurine riboside may be purchased from Schering AG (Berlin) to provide 2′-O-(2-ethylacetyl) diaminopurine riboside along with a minor amount of the 3′-O-isomer. 2′-O-(2-ethylacetyl) diaminopurine riboside may be resolved and converted to 2′-O-(2-ethylacetyl)guanosine by treatment with adenosine deaminase. (McGee, D. P. C., Cook, P. D., Guinosso, C. J., WO 94/02501 A1 940203.) Standard protection procedures should afford 2′-O-(2-ethylacetyl)-5′-O-(4,4′-dimethoxytrityl)guanosine and 2-N-isobutyryl-6-O-diphenylcarbamoyl-2′-O-(2-ethylacetyl)-5′-O-(4,4′-dimethoxytrityl)guanosine which may be reduced to provide 2-N-isobutyryl-6-O-diphenylcarbamoyl-2′-O-(2-hydroxyethyl)-5′-O-(4,4′-dimethoxytrityl)guanosine. As before the hydroxyl group may be displaced by N-hydroxyphthalimide via a Mitsunobu reaction, and the protected nucleoside may phosphitylated as usual to yield 2-N-isobutyryl-6-O-diphenylcarbamoyl-2′-O-([2-phthalmidoxy]ethyl)-5′-O-(4,4′-dimethoxytrityl)guanosine-3′-[(2-cyanoethyl)-N,N-diisopropylphosphoramidite].

[0183] 2′-dimethylaminoethoxyethoxy (2′-DMAEOE) Nucleoside Amidites

[0184] 2′-dimethylaminoethoxyethoxy nucleoside amidites (also known in the art as 2′-O-dimethylaminoethoxyethyl, i.e., 2′—O—CH₂—O—CH₂—N(CH₂)₂, or 2′—DMAEOE nucleoside amidites) are prepared as follows. Other nucleoside amidites are prepared similarly.

[0185] 2′-O-[2(2-N,N-dimethylaminoethoxy)ethyl]-5-Methyl Uridine

[0186] 2[2-(Dimethylamino)ethoxy]ethanol (Aldrich, 6.66 g, 50 mmol) is slowly added to a solution of borane in tetra-hydrofuran (1 M, 10 mL, 10 mmol) with stirring in a 100 mL bomb. Hydrogen gas evolves as the solid dissolves. O²-, 2′-anhydro-5-methyluridine (1.2 g, 5 mmol), and sodium bicarbonate (2.5 mg) are added and the bomb is sealed, placed in an oil bath and heated to 155° C. for 26 hours. The bomb is cooled to room temperature and opened. The crude solution is concentrated and the residue partitioned between water (200 mL) and hexanes (200 mL). The excess phenol is extracted into the hexane layer. The aqueous layer is extracted with ethyl acetate (3×200 mL) and the combined organic layers are washed once with water, dried over anhydrous sodium sulfate and concentrated. The residue is columned on silica gel using methanol/methylene chloride 1:20 (which has 2% triethylamine) as the eluent. As the column fractions are concentrated a colorless solid forms which is collected to give the title compound as a white solid.

[0187] 5′-O-dimethoxytrityl-2′-O-[2(2-N,N-dimethylaminoethoxy) ethyl)]-5-methyl Uridine

[0188] To 0.5 g (1.3 mmol) of 2′-O-[2(2-N,N-dimethylamino-ethoxy)ethyl)]-5-methyl uridine in anhydrous pyridine (8 mL), triethylamine (0.36 mL) and dimethoxytrityl chloride (DMT-Cl, 0.87 g, 2 eq.) are added and stirred for 1 hour. The reaction mixture is poured into water (200 mL) and extracted with CH₂Cl₂ (2×200 mL). The combined CH₂Cl₂ layers are washed with saturated NaHCO₃ solution, followed by saturated NaCl solution and dried over anhydrous sodium sulfate. Evaporation of the solvent followed by silica gel chromatography using MeOH:CH₂Cl₂:Et₃N (20:1, v/v, with 1% triethylamine) gives the title compound.

[0189] 5′-O-Dimethoxytrityl-2′-O-[2(2-N,N-dimethylaminoethoxy)-ethyl)]-5-methyl uridine-3′-O-(cyanoethyl-N,N-diisopropyl)Phosphoramidite

[0190] Diisopropylaminotetrazolide (0.6 g) and 2-cyanoethoxy-N,N-diisopropyl phosphoramidite (1.1 mL, 2 eq.) are added to a solution of 5′-O-dimethoxytrityl-2′-O-[2(2-N,N-dimethylaminoethoxy)ethyl)]-5-methyluridine (2.17 g, 3 mmol) dissolved in CH₂C1₂ (20 mL) under an atmosphere of argon. The reaction mixture is stirred overnight and the solvent evaporated. The resulting residue is purified by silica gel flash column chromatography with ethyl acetate as the eluent to give the title compound.

Example 2

[0191] Oligonucleotide Synthesis

[0192] Unsubstituted and substituted phosphodiester (P═O) oligonucleotides are synthesized on an automated DNA synthesizer (Applied Biosystems model 380B) using standard phosphoramidite chemistry with oxidation by iodine.

[0193] Phosphorothioates (P═S) are synthesized as for the phosphodiester oligonucleotides except the standard oxidation bottle was replaced by 0.2 M solution of 3H-1,2-benzodithiole-3-one 1,1-dioxide in acetonitrile for the stepwise thiation of the phosphite linkages. The thiation wait step was increased to 68 sec and was followed by the capping step. After cleavage from the CPG column and deblocking in concentrated ammonium hydroxide at 55° C. (18 h), the oligonucleotides were purified by precipitating twice with 2.5 volumes of ethanol from a 0.5 M NaCl solution.

[0194] Phosphinate oligonucleotides are prepared as described in U.S. Pat. No. 5,508,270, herein incorporated by reference.

[0195] Alkyl phosphonate oligonucleotides are prepared as described in U.S. Pat. No. 4,469,863, herein incorporated by reference.

[0196] 3′-Deoxy-3′-methylene phosphonate oligonucleotides are prepared as described in U.S. Pat. Nos. 5,610,289 or 5,625,050, herein incorporated by reference.

[0197] Phosphoramidite oligonucleotides are prepared as described in U.S. Pat. No. 5,256,775 or U.S. Pat. No. 5,366,878, herein incorporated by reference.

[0198] Alkylphosphonothioate oligonucleotides are prepared as described in published PCT applications PCT/US94/00902 and PCT/US93/06976 (published as WO 94/17093 and WO 94/02499, respectively), herein incorporated by reference.

[0199] 3′-Deoxy-3′-amino phosphoramidate oligonucleotides are prepared as described in U.S. Pat. No. 5,476,925, herein incorporated by reference.

[0200] Phosphotriester oligonucleotides are prepared as described in U.S. Pat. No. 5,023,243, herein incorporated by reference.

[0201] Borano phosphate oligonucleotides are prepared as described in U.S. Pat. Nos. 5,130,302 and 5,177,198, both herein incorporated by reference.

Example 3

[0202] Oligonucleoside Synthesis

[0203] Methylenemethylimino linked oligonucleosides, also identified as MMI linked oligonucleosides, methylenedimethylhydrazo linked oligonucleosides, also identified as MDH linked oligonucleosides, and methylenecarbonylamino linked oligonucleosides, also identified as amide-3 linked oligonucleosides, and methyleneaminocarbonyl linked oligonucleosides, also identified as amide-4 linked oligonucleosides, as well as mixed backbone compounds having, for instance, alternating MMI and P═O or P═S linkages are prepared as described in U.S. Pat. Nos. 5,378,825, 5,386,023, 5,489,677, 5,602,240 and 5,610,289, all of which are herein incorporated by reference.

[0204] Formacetal and thioformacetal linked oligonucleosides are prepared as described in U.S. Pat. Nos. 5,264,562 and 5,264,564, herein incorporated by reference.

[0205] Ethylene oxide linked oligonucleosides are prepared as described in U.S. Pat. No. 5,223,618, herein incorporated by reference.

Example 4

[0206] PNA Synthesis

[0207] Peptide nucleic acids (PNAS) are prepared in accordance with any of the various procedures referred to in Peptide Nucleic Acids (PNA): Synthesis, Properties and Potential Applications, Bioorganic & Medicinal Chemistry, 1996, 4, 5-23. They may also be prepared in accordance with U.S. Pat. Nos. 5,539,082, 5,700,922, and 5,719,262, herein incorporated by reference.

Example 5

[0208] Synthesis of Chimeric Oligonucleotides

[0209] Chimeric oligonucleotides, oligonucleosides or mixed oligonucleotides/oligonucleosides of the invention can be of several different types. These include a first type wherein the “gap” segment of linked nucleosides is positioned between 5′ and 3′ “wing” segments of linked nucleosides and a second “open end” type wherein the “gap” segment is located at either the 3′ or the 5′ terminus of the oligomeric compound. oligonucleotides of the first type are also known in the art as “gapmers” or gapped oligonucleotides. Oligonucleotides of the second type are also known in the art as “hemimers” or “wingmers”.

[0210] [2′-O-Me]—[2′-deoxy]—[2′-O-Me] Chimeric Phosphorothioate Oligonucleotides

[0211] Chimeric oligonucleotides having 2′-O-alkyl phosphorothioate and 2′-deoxy phosphorothioate oligonucleotide segments are synthesized using an Applied Biosystems automated DNA synthesizer Model 380B, as above. Oligonucleotides are synthesized using the automated synthesizer and 2′-deoxy-5′-dimethoxytrityl-3′-O-phosphoramidite for the DNA portion and 5′-dimethoxytrityl-2′-O-methyl-3′-O-phosphoramidite for 5′ and 3′ wings. The standard synthesis cycle is modified by increasing the wait step after the delivery of tetrazole and base to 600 s repeated four times for RNA and twice for 2′-O-methyl. The fully protected oligonucleotide is cleaved from the support and the phosphate group is deprotected in 3:1 ammonia/ethanol at room temperature overnight then lyophilized to dryness. Treatment in methanolic ammonia for 24 hrs at room temperature is then done to deprotect all bases and sample was again lyophilized to dryness. The pellet is resuspended in 1M TBAF in THF for 24 hrs at room temperature to deprotect the 2′ positions. The reaction is then quenched with 1M TEAA and the sample is then reduced to ½ volume by rotovac before being desalted on a G25 size exclusion column. The oligo recovered is then analyzed spectrophotometrically for yield and for purity by capillary electrophoresis and by mass spectrometry.

[0212] [2′-O-(2-Methoxyethyl)]—[2′-deoxy]—[2′-O-(Methoxyethyl)] Chimeric Phosphorothioate Oligonucleotides

[0213] [2′-O-(2-methoxyethyl)]—[2′-deoxy]—[-2′-O-(methoxy-ethyl)] chimeric phosphorothioate oligonucleotides were prepared as per the procedure above for the 2′-O-methyl chimeric oligonucleotide, with the substitution of 2′-O-(methoxyethyl) amidites for the 2′-O-methyl amidites.

[0214] [2′-O-(2-Methoxyethyl)Phosphodiester]—[2′-deoxy Phosphorothioate]—[2′-O-(2-Methoxyethyl) Phosphodiester] Chimeric Oligonucleotides

[0215] [2′-O-(2-methoxyethyl phosphodiester]—[2′-deoxy phosphorothioate]—[2′-O-(methoxyethyl) phosphodiester] chimeric oligonucleotides are prepared as per the above procedure for the 2′-O-methyl chimeric oligonucleotide with the substitution of 2′-O-(methoxyethyl) amidites for the 2′-O-methyl amidites, oxidization with iodine to generate the phosphodiester internucleotide linkages within the wing portions of the chimeric structures and sulfurization utilizing 3,H-1,2 benzodithiole-3-one 1,1 dioxide (Beaucage Reagent) to generate the phosphorothioate internucleotide linkages for the center gap.

[0216] Other chimeric oligonucleotides, chimeric oligonucleosides and mixed chimeric oligonucleotides/oligonucleosides are synthesized according to U.S. Pat. No. 5,623,065, herein incorporated by reference.

Example 6

[0217] Oligonucleotide Isolation

[0218] After cleavage from the controlled pore glass column (Applied Biosystems) and deblocking in concentrated ammonium hydroxide at 55° C. for 18 hours, the oligonucleotides or oligonucleosides are purified by precipitation twice out of 0.5 M NaCl with 2.5 volumes ethanol. Synthesized oligonucleotides were analyzed by polyacrylamide gel electrophoresis on denaturing gels and judged to be at least 85% full length material. The relative amounts of phosphorothioate and phosphodiester linkages obtained in synthesis were periodically checked by ³¹P nuclear magnetic resonance spectroscopy, and for some studies oligonucleotides were purified by HPLC, as described by Chiang et al., J. Biol. Chem. 1991, 266, 18162-18171. Results obtained with HPLC-purified material were similar to those obtained with non-HPLC purified material.

Example 7

[0219] Oligonucleotide Synthesis-96 Well Plate Format

[0220] Oligonucleotides were synthesized via solid phase P(III) phosphoramidite chemistry on an automated synthesizer capable of assembling 96 sequences simultaneously in a standard 96 well format. Phosphodiester internucleotide linkages were afforded by oxidation with aqueous iodine. Phosphorothioate internucleotide linkages were generated by sulfurization utilizing 3,H-1,2 benzodithiole-3-one 1,1 dioxide (Beaucage Reagent) in anhydrous acetonitrile. Standard base-protected beta-cyanoethyldiisopropyl phosphoramidites were purchased from commercial vendors (e.g. PE-Applied Biosystems, Foster City, Calif., or Pharmacia, Piscataway, N.J.). Non-standard nucleosides are synthesized as per known literature or patented methods. They are utilized as base protected beta-cyanoethyldiisopropyl phosphoramidites.

[0221] Oligonucleotides were cleaved from support and deprotected with concentrated NH₄OH at elevated temperature (55-60° C.) for 12-16 hours and the released product then dried in vacuo. The dried product was then re-suspended in sterile water to afford a master plate from which all analytical and test plate samples are then diluted utilizing robotic pipettors.

Example 8

[0222] Oligonucleotide Analysis-96 Well Plate Format

[0223] The concentration of oligonucleotide in each well was assessed by dilution of samples and UV absorption spectroscopy. The full-length integrity of the individual products was evaluated by capillary electrophoresis (CE) in either the 96 well format (Beckman P/ACE™ MDQ) or, for individually prepared samples, on a commercial CE apparatus (e.g., Beckman P/ACE™ 5000, ABI 270). Base and backbone composition was confirmed by mass analysis of the compounds utilizing electrospray-mass spectroscopy. All assay test plates were diluted from the master plate using single and multi-channel robotic pipettors. Plates were judged to be acceptable if at least 85% of the compounds on the plate were at least 85% full length.

Example 9

[0224] Cell Culture and Oligonucleotide Treatment

[0225] The effect of antisense compounds on target nucleic acid expression can be tested in any of a variety of cell types provided that the target nucleic acid is present at measurable levels. This can be routinely determined using, for example, PCR or Northern blot analysis. The following 6 cell types are provided for illustrative purposes, but other cell types can be routinely used, provided that the target is expressed in the cell type chosen. This can be readily determined by methods routine in the art, for example Northern blot analysis, Ribonuclease protection assays, or RT-PCR.

[0226] T-24 Cells:

[0227] The human transitional cell bladder carcinoma cell line T-24 was obtained from the American Type Culture Collection (ATCC) (Manassas, Va.). T-24 cells were routinely cultured in complete McCoy's 5A basal media (Gibco/Life Technologies, Gaithersburg, Md.) supplemented with 10% fetal calf serum (Gibco/Life Technologies, Gaithersburg, Md.), penicillin 100 units per mL, and streptomycin 100 micrograms per mL (Gibco/Life Technologies, Gaithersburg, Md.). Cells were routinely passaged by trypsinization and dilution when they reached 90% confluence. Cells were seeded into 96-well plates (Falcon-Primaria #3872) at a density of 7000 cells/well for use in RT-PCR analysis.

[0228] For Northern blotting or other analysis, cells may be seeded onto 100 mm or other standard tissue culture plates and treated similarly, using appropriate volumes of medium and oligonucleotide.

[0229] A549 Cells:

[0230] The human lung carcinoma cell line A549 was obtained from the American Type Culture Collection (ATCC) (Manassas, Va.). A549 cells were routinely cultured in DMEM basal media (Gibco/Life Technologies, Gaithersburg, Md.) supplemented with 10% fetal calf serum (Gibco/Life Technologies, Gaithersburg, Md.), penicillin 100 units per mL, and streptomycin 100 micrograms per mL (Gibco/Life Technologies, Gaithersburg, Md.). Cells were routinely passaged by trypsinization and dilution when they reached 90% confluence.

[0231] NHDF Cells:

[0232] Human neonatal dermal fibroblast (NHDF) were obtained from the Clonetics Corporation (Walkersville Md.). NHDFs were routinely maintained in Fibroblast Growth Medium (Clonetics Corporation, Walkersville Md.) supplemented as recommended by the supplier. Cells were maintained for up to 10 passages as recommended by the supplier.

[0233] HEK Cells:

[0234] Human embryonic keratinocytes (HEK) were obtained from the Clonetics Corporation (Walkersville Md.). HEKs were routinely maintained in Keratinocyte Growth Medium (Clonetics Corporation, Walkersville Md.) formulated as recommended by the supplier. Cells were routinely maintained for up to 10 passages as recommended by the supplier.

[0235] HepG2 Cells:

[0236] The human hepatoblastoma cell line HepG2 was obtained from the American Type Culure Collection (Manassas, Va.). HepG2 cells were routinely cultured in Eagle's MEM supplemented with 10% fetal calf serum, non-essential amino acids, and 1 mM sodium pyruvate (Gibco/Life Technologies, Gaithersburg, Md.). Cells were routinely passaged by trypsinization and dilution when they reached 90% confluence. Cells were seeded into 96-well plates (Falcon-Primaria #3872) at a density of 7000 cells/well for use in RT-PCR analysis.

[0237] For Northern blotting or other analyses, cells may be seeded onto 100 mm or other standard tissue culture plates and treated similarly, using appropriate volumes of medium and oligonucleotide.

[0238] b.END Cells:

[0239] The mouse brain endothelial cell line b.END was obtained from Dr. Werner Risau at the Max Plank Instititute (Bad Nauheim, Germany). b.END cells were routinely cultured in DMEM, high glucose (Gibco/Life Technologies, Gaithersburg, Md.) supplemented with 10% fetal calf serum (Gibco/Life Technologies, Gaithersburg, Md.). Cells were routinely passaged by trypsinization and dilution when they reached 90% confluence. Cells were seeded into 96-well plates (Falcon-Primaria #3872) at a density of 3000 cells/well for use in RT-PCR analysis.

[0240] For Northern blotting or other analyses, cells may be seeded onto 100 mm or other standard tissue culture plates and treated similarly, using appropriate volumes of medium and oligonucleotide.

[0241] Treatment with Antisense Compounds:

[0242] When cells reached 80% confluency, they were treated with oligonucleotide. For cells grown in 96-well plates, wells were washed once with 200 μL OPTI-MEM™-1 reduced-serum medium (Gibco BRL) and then treated with 130 μL of OPTI-MEM™-1 containing 3.75 μg/mL LIPOFECTIN™ (Gibco BRL) and the desired concentration of oligonucleotide. After 4-7 hours of treatment, the medium was replaced with fresh medium. Cells were harvested 16-24 hours after oligonucleotide treatment.

[0243] The concentration of oligonucleotide used varies from cell line to cell line. To determine the optimal oligonucleotide concentration for a particular cell line, the cells are treated with a positive control oligonucleotide at a range of concentrations. For human cells the positive control oligonucleotide is ISIS 13920, TCCGTCATCGCTCCTCAGGG, SEQ ID NO: 1, a 2′-O-methoxyethyl gapmer (2′-O-methoxyethyls shown in bold) with a phosphorothioate backbone which is targeted to human H-ras. For mouse or rat cells the positive control oligonucleotide is ISIS 15770, ATGCATTCTGCCCCCAAGGA, SEQ ID NO: 2, a 2′-O-methoxyethyl gapmer (2′-O-methoxyethyls shown in bold) with a phosphorothioate backbone which is targeted to both mouse and rat c-raf. The concentration of positive control oligonucleotide that results in 80% inhibition of c-Ha-ras (for ISIS 13920) or c-raf (for ISIS 15770) mRNA is then utilized as the screening concentration for new oligonucleotides in subsequent experiments for that cell line. If 80% inhibition is not achieved, the lowest concentration of positive control oligonucleotide that results in 60% inhibition of H-ras or c-raf mRNA is then utilized as the oligonucleotide screening concentration in subsequent experiments for that cell line. If 60% inhibition is not achieved, that particular cell line is deemed as unsuitable for oligonucleotide transfection experiments.

Example 10

[0244] Analysis of Oligonucleotide Inhibition of Transforming Growth Factor Beta Receptor II Expression

[0245] Antisense modulation of Transforming growth factor beta receptor II expression can be assayed in a variety of ways known in the art. For example, Transforming growth factor beta receptor II mRNA levels can be quantitated by, e.g., Northern blot analysis, competitive polymerase chain reaction (PCR), or real-time PCR (RT-PCR). Real-time quantitative PCR is presently preferred. RNA analysis can be performed on total cellular RNA or poly(A)+mRNA. Methods of RNA isolation are taught in, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 1, pp. 4.1.1-4.2.9 and 4.5.1-4.5.3, John Wiley & Sons, Inc., 1993. Northern blot analysis is routine in the art and is taught in, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 1, pp. 4.2.1-4.2.9, John Wiley & Sons, Inc., 1996. Real-time quantitative (PCR) can be conveniently accomplished using the commercially available ABI PRISM™ 7700 Sequence Detection System, available from PE-Applied Biosystems, Foster City, Calif. and used according to manufacturer's instructions.

[0246] Protein levels of Transforming growth factor beta receptor II can be quantitated in a variety of ways well known in the art, such as immunoprecipitation, Western blot analysis (immunoblotting), ELISA or fluorescence-activated cell sorting (FACS). Antibodies directed to Transforming growth factor beta receptor II can be identified and obtained from a variety of sources, such as the MSRS catalog of antibodies (Aerie Corporation, Birmingham, Mich.), or can be prepared via conventional antibody generation methods. Methods for preparation of polyclonal antisera are taught in, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 2, pp. 11.12.1-11.12.9, John Wiley & Sons, Inc., 1997. Preparation of monoclonal antibodies is taught in, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 2, pp. 11.4.1-11.11.5, John Wiley & Sons, Inc., 1997.

[0247] Immunoprecipitation methods are standard in the art and can be found at, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 2, pp. 10.16.1-10.16.11, John Wiley & Sons, Inc., 1998. Western blot (immunoblot) analysis is standard in the art and can be found at, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 2, pp. 10.8.1-10.8.21, John Wiley & Sons, Inc., 1997. Enzyme-linked immunosorbent assays (ELISA) are standard in the art and can be found at, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 2, pp. 11.2.1-11.2.22, John Wiley & Sons, Inc., 1991.

Example 11

[0248] Poly(A)+ mRNA Isolation

[0249] Poly(A)+ mRNA was isolated according to Miura et al., Clin. Chem., 1996, 42, 1758-1764. Other methods for poly(A)+ mRNA isolation are taught in, for example, Ausubel, F. M. et al., Current Protocols in Molecular Biology, Volume 1, pp. 4.5.1-4.5.3, John Wiley & Sons, Inc., 1993. Briefly, for cells grown on 96-well plates, growth medium was removed from the cells and each well was washed with 200 μL cold PBS. 60 μL lysis buffer (10 mM Tris-HCl, pH 7.6, 1 mM EDTA, 0.5 M NaCl, 0.5% NP-40, 20 mM vanadyl-ribonucleoside complex) was added to each well, the plate was gently agitated and then incubated at room temperature for five minutes. 55 μL of lysate was transferred to Oligo d(T) coated 96-well plates (AGCT Inc., Irvine Calif.). Plates were incubated for 60 minutes at room temperature, washed 3 times with 200 μL of wash buffer (10 mM Tris-HCl pH 7.6, 1 mM EDTA, 0.3 M NaCl). After the final wash, the plate was blotted on paper towels to remove excess wash buffer and then air-dried for 5 minutes. 60 μL of elution buffer (5 mM Tris-HCl pH 7.6), preheated to 70° C. was added to each well, the plate was incubated on a 90° C. hot plate for 5 minutes, and the eluate was then transferred to a fresh 96-well plate.

[0250] Cells grown on 100 mm or other standard plates may be treated similarly, using appropriate volumes of all solutions.

Example 12

[0251] Total RNA Isolation

[0252] Total RNA was isolated using an RNEASY 96™ kit and buffers purchased from Qiagen Inc. (Valencia Calif.) following the manufacturer's recommended procedures. Briefly, for cells grown on 96-well plates, growth medium was removed from the cells and each well was washed with 200 μL cold PBS. 100 μL Buffer RLT was added to each well and the plate vigorously agitated for 20 seconds. 100 μL of 70% ethanol was then added to each well and the contents mixed by pipetting three times up and down. The samples were then transferred to the RNEASY 96™ well plate attached to a QIAVAC™ manifold fitted with a waste collection tray and attached to a vacuum source. Vacuum was applied for 15 seconds. 1 mL of Buffer RW1 was added to each well of the RNEASY 96™ plate and the vacuum again applied for 15 seconds. 1 mL of Buffer RPE was then added to each well of the RNEASY 96™ plate and the vacuum applied for a period of 15 seconds. The Buffer RPE wash was then repeated and the vacuum was applied for an additional 10 minutes. The plate was then removed from the QIAVAC™ manifold and blotted dry on paper towels. The plate was then re-attached to the QIAVAC™ manifold fitted with a collection tube rack containing 1.2 mL collection tubes. RNA was then eluted by pipetting 60 μL water into each well, incubating 1 minute, and then applying the vacuum for 30 seconds. The elution step was repeated with an additional 60 μL water.

[0253] The repetitive pipetting and elution steps may be automated using a QIAGEN Bio-Robot 9604 (Qiagen, Inc., Valencia Calif.). Essentially, after lysing of the cells on the culture plate, the plate is transferred to the robot deck where the pipetting, DNase treatment and elution steps are carried out.

Example 13

[0254] Real-Time Quantitative PCR Analysis of Transforming Growth Factor Beta Receptor II mRNA Levels

[0255] Quantitation of Transforming growth factor beta receptor II mRNA levels was determined by real-time quantitative PCR using the ABI PRISM™ 7700 Sequence Detection System (PE-Applied Biosystems, Foster City, Calif.) according to manufacturer's instructions. This is a closed-tube, non-gel-based, fluorescence detection system which allows high-throughput quantitation of polymerase chain reaction (PCR) products in real-time. As opposed to standard PCR, in which amplification products are quantitated after the PCR is completed, products in real-time quantitative PCR are quantitated as they accumulate. This is accomplished by including in the PCR reaction an oligonucleotide probe that anneals specifically between the forward and reverse PCR primers, and contains two fluorescent dyes. A reporter dye (e.g., JOE, FAM, or VIC, obtained from either Operon Technologies Inc., Alameda, Calif. or PE-Applied Biosystems, Foster City, Calif.) is attached to the 5′ end of the probe and a quencher dye (e.g., TAMRA, obtained from either Operon Technologies Inc., Alameda, Calif. or PE-Applied Biosystems, Foster City, Calif.) is attached to the 3′ end of the probe. When the probe and dyes are intact, reporter dye emission is quenched by the proximity of the 3′ quencher dye. During amplification, annealing of the probe to the target sequence creates a substrate that can be cleaved by the 5′-exonuclease activity of Taq polymerase. During the extension phase of the PCR amplification cycle, cleavage of the probe by Taq polymerase releases the reporter dye from the remainder of the probe (and hence from the quencher moiety) and a sequence-specific fluorescent signal is generated. With each cycle, additional reporter dye molecules are cleaved from their respective probes, and the fluorescence intensity is monitored at regular intervals by laser optics built into the ABI PRISM™ 7700 Sequence Detection System. In each assay, a series of parallel reactions containing serial dilutions of mRNA from untreated control samples generates a standard curve that is used to quantitate the percent inhibition after antisense oligonucleotide treatment of test samples.

[0256] Prior to quantitative PCR analysis, primer-probe sets specific to the target gene being measured are evaluated for their ability to be “multiplexed” with a GAPDH amplification reaction. In multiplexing, both the target gene and the internal standard gene GAPDH are amplified concurrently in a single sample. In this analysis, mRNA isolated from untreated cells is serially diluted. Each dilution is amplified in the presence of primer-probe sets specific for GAPDH only, target gene only (“single-plexing”), or both (multiplexing). Following PCR amplification, standard curves of GAPDH and target mRNA signal as a function of dilution are generated from both the single-plexed and multiplexed samples. If both the slope and correlation coefficient of the GAPDH and target signals generated from the multiplexed samples fall within 10% of their corresponding values generated from the single-plexed samples, the primer-probe set specific for that target is deemed multiplexable. Other methods of PCR are also known in the art.

[0257] PCR reagents were obtained from PE-Applied Biosystems, Foster City, Calif. RT-PCR reactions were carried out by adding 25 μL PCR cocktail (1× TAQMAN™ buffer A, 5.5 mM MgCl₂, 300 μM each of DATP, dCTP and dGTP, 600 μM of dUTP, 100 nM each of forward primer, reverse primer, and probe, 20 Units RNAse inhibitor, 1.25 Units AMPLITAQ GOLD™, and 12.5 Units MuLV reverse transcriptase) to 96 well plates containing 25 μL total RNA solution. The RT reaction was carried out by incubation for 30 minutes at 48° C. Following a 10 minute incubation at 95° C. to activate the AMPLITAQ GOLD™, 40 cycles of a two-step PCR protocol were carried out: 95° C. for 15 seconds (denaturation) followed by 60° C. for 1.5 minutes (annealing/extension).

[0258] Gene target quantities obtained by real time RT-PCR are normalized using either the expression level of GAPDH, a gene whose expression is constant, or by quantifying total RNA using RiboGreen™ (Molecular Probes, Inc. Eugene, Oreg.). GAPDH expression is quantified by real time RT-PCR, by being run simultaneously with the target, multiplexing, or separately. Total RNA is quantified using RiboGreen™ RNA quantification reagent from Molecular Probes. Methods of RNA quantification by RiboGreen™ are taught in Jones, L. J., et al, Analytical Biochemistry, 1998, 265, 368-374.

[0259] In this assay, 175 μL of RiboGreen™ working reagent (RiboGreen™ reagent diluted 1:2865 in 10 mM Tris-HCl, 1 mM EDTA, pH 7.5) is pipetted into a 96-well plate containing 25 uL purified, cellular RNA. The plate is read in a CytoFluor 4000 (PE Applied Biosystems) with excitation at 480 nm and emission at 520 nm.

[0260] Probes and primers to human Transforming growth factor beta receptor II were designed to hybridize to a human Transforming growth factor beta receptor II sequence, using published sequence information (GenBank accession number D50683, incorporated herein as SEQ ID NO:3). For human Transforming growth factor beta receptor II the PCR primers were:

[0261] forward primer: AGAGATCGAGGGCGACCAG (SEQ ID NO: 4)

[0262] reverse primer: TCAACGTCTCACACACCATCTG (SEQ ID NO: 5) and the

[0263] PCR probe was: FAM-TCCCAGCTTCTGGCTCAACCACCA-TAMRA

[0264] (SEQ ID NO: 6) where FAM (PE-Applied Biosystems, Foster City, Calif.) is the fluorescent reporter dye) and TAMRA (PE-Applied Biosystems, Foster City, Calif.) is the quencher dye. For human GAPDH the PCR primers were:

[0265] forward primer: GAAGGTGAAGGTCGGAGTC (SEQ ID NO: 7)

[0266] reverse primer: GAAGATGGTGATGGGATTTC (SEQ ID NO: 8) and the PCR probe was: 5′ JOE-CAAGCTTCCCGTTCTCAGCC-TAMRA 3′ (SEQ ID NO: 9) where JOE (PE-Applied Biosystems, Foster City, Calif.) is the fluorescent reporter dye) and TAMRA (PE-Applied Biosystems, Foster City, Calif.) is the quencher dye.

[0267] Probes and primers to mouse Transforming growth factor beta receptor II were designed to hybridize to a mouse Transforming growth factor beta receptor II sequence, using published sequence information (GenBank accession number D32072, incorporated herein as SEQ ID NO:10). For mouse Transforming growth factor beta receptor II the PCR primers were:

[0268] forward primer: CGACCGCTCCGACATCA (SEQ ID NO:11)

[0269] reverse primer: TCGATGGGCAGCAGCTC (SEQ ID NO: 12) and the PCR probe was: FAM-CTCCACGTGCGCCAACAACATCA-TAMRA

[0270] (SEQ ID NO: 13) where FAM (PE-Applied Biosystems, Foster City, Calif.) is the fluorescent reporter dye) and TAMRA (PE-Applied Biosystems, Foster City, Calif.) is the quencher dye. For mouse GAPDH the PCR primers were:

[0271] forward primer: GGCAAATTCAACGGCACAGT (SEQ ID NO: 14)

[0272] reverse primer: GGGTCTCGCTCCTGGAAGAT (SEQ ID NO: 15) and the

[0273] PCR probe was: 5′ JOE-AAGGCCGAGAATGGGAAGCTTGTCATC-TAMRA 3′ (SEQ ID NO: 16) where JOE (PE-Applied Biosystems, Foster City, Calif.) is the fluorescent reporter dye) and TAMRA (PE-Applied Biosystems, Foster City, Calif.) is the quencher dye.

Example 14

[0274] Northern Blot Analysis of Transforming Growth Factor Beta Receptor II mRNA Levels

[0275] Eighteen hours after antisense treatment, cell monolayers were washed twice with cold PBS and lysed in 1 mL RNAZOL™ (TEL-TEST “B” Inc., Friendswood, Tex.). Total RNA was prepared following manufacturer's recommended protocols. Twenty micrograms of total RNA was fractionated by electrophoresis through 1.2% agarose gels containing 1.1% formaldehyde using a MOPS buffer system (AMRESCO, Inc. Solon, Ohio). RNA was transferred from the gel to HYBOND™-N+ nylon membranes (Amersham Pharmacia Biotech, Piscataway, N.J.) by overnight capillary transfer using a Northern/Southern Transfer buffer system (TEL-TEST “B” Inc., Friendswood, Tex.). RNA transfer was confirmed by UV visualization. Membranes were fixed by UV cross-linking using a STRATALINKER™ UV Crosslinker 2400 (Stratagene, Inc, La Jolla, Calif.) and then robed using QUICKHYB™ hybridization solution (Stratagene, La Jolla, Calif.) using manufacturer's recommendations for stringent conditions.

[0276] To detect human Transforming growth factor beta receptor II, a human Transforming growth factor beta receptor II specific probe was prepared by PCR using the forward primer AGAGATCGAGGGCGACCAG (SEQ ID NO: 4) and the reverse primer TCAACGTCTCACACACCATCTG (SEQ ID NO: 5). To normalize for variations in loading and transfer efficiency membranes were stripped and probed for human glyceraldehyde-3-phosphate dehydrogenase (GAPDH) RNA (Clontech, Palo Alto, Calif.).

[0277] To detect mouse Transforming growth factor beta receptor II, a mouse Transforming growth factor beta receptor II specific probe was prepared by PCR using the forward primer CGACCGCTCCGACATCA (SEQ ID NO:11) and the reverse primer TCGATGGGCAGCAGCTC (SEQ ID NO: 12). To normalize for variations in loading and transfer efficiency membranes were stripped and probed for mouse glyceraldehyde-3-phosphate dehydrogenase (GAPDH) RNA (Clontech, Palo Alto, Calif.).

[0278] Hybridized membranes were visualized and quantitated using a PHOSPHORIMAGER™ and IMAGEQUANT™ Software V3.3 (Molecular Dynamics, Sunnyvale, Calif.). Data was normalized to GAPDH levels in untreated controls.

Example 15

[0279] Antisense Inhibition of Human Transforming Growth Factor Beta Receptor II Expression by Chimeric Phosphorothioate Oligonucleotides Having 2′-MOE Wings and a Deoxy Gap

[0280] In accordance with the present invention, a series of oligonucleotides were designed to target different regions of the human Transforming growth factor beta receptor II RNA, using published sequences (GenBank accession number D50683, incorporated herein as SEQ ID NO: 3, GenBank accession number NM_(—)003242, incorporated herein as SEQ ID NO: 17, GenBank accession number D50682, incorporated herein as SEQ ID NO: 18, and GenBank accession number AW020512, incorporated herein as SEQ ID NO: 19). The oligonucleotides are shown in Table 1. “Target site” indicates the first (5′-most) nucleotide number on the particular target sequence to which the oligonucleotide binds. All compounds in Table 1 are chimeric oligonucleotides (“gapmers”) 20 nucleotides in length, composed of a central “gap” region consisting of ten 2′-deoxynucleotides, which is flanked on both sides (51 and 31 directions) by five-nucleotide “wings”. The wings are composed of 2′-methoxyethyl (2¹-MOE)nucleotides. The internucleoside (backbone) linkages are phosphorothioate (P═S) throughout the oligonucleotide. All cytidine residues are 5-methylcytidines. The compounds were analyzed for their effect on human Transforming growth factor beta receptor II mRNA levels by quantitative real-time PCR as described in other examples herein. Data are averages from two experiments. If present, “N.D.” indicates “no data”. TABLE 1 Inhibition of human Transforming growth factor beta receptor II mRNA levels by chimeric phosphorothioate oligonucleotides having 2′-MOE wings and a deoxy gap TARGET TARGET ISIS# REGION SEQ ID NO SITE SEQUENCE %INHIB SEQ ID NO 123751 Start 3 1568 cagcccccgacccatggcag 0 20 Codon 123760 coding 3 1768 ctgcagttgctcatgcagga 34 21 123772 Coding 3 2266 ttgtggttgatgttgttggc 61 22 123777 Coding 3 2350 ttctgcttcagcttggcctt 0 23 123786 Coding 3 2593 aggtcctcccagctgatgac 0 24 123788 Coding 3 2674 ggcatcttgggcctcccaca 27 25 123793 Coding 3 2787 catccacagacagagtaggg 26 26 123794 Coding 3 2794 gccaggtcatccacagacag 41 27 123797 Coding 3 2908 agagccatggagtagacatc 48 28 123799 Coding 3 2992 tcccgcaccttggaaccaaa 0 29 123803 Coding 3 3073 tggttgagccagaagctggg 8 30 123804 Coding 3 3083 gatgccctggtggttgagcc 17 31 128885 5′UTR 17 34 ctcactcaacttcaactcag 27 32 128886 5′UTR 17 89 cctgtcccgagcgggtgcac 40 33 128887 5′UTR 17 121 gcggccgagggaagctgcac 38 34 128888 5′UTR 3 445 atatgaaaggtgtattacaa 0 35 128889 5′UTR 3 591 aaaaacttgcatttcaacat 0 36 128890 5′UTR 3 618 tctacacacttagttaagga 23 37 128891 5′UTR 3 688 cttagggttccatgtcttcc 18 38 128892 5′UTR 3 1065 ataaagactgtaatcagtat 0 39 128893 5′UTR 3 1144 gtttacaagaacagtccaaa 10 40 128894 5′UTR 3 1159 aagatgcatatacctgttta 40 41 128895 5′UTR 3 1249 catcccagtgaggcttttct 60 42 128896 5′UTR 3 1324 gagtctagacatattggtgg 0 43 128897 5′UTR 3 1335 tgttagcctctgagtctaga 44 44 128898 5′UTR 3 1346 actagcagtcatgttagcct 16 45 128899 5′UTR 3 1424 agctttgtgacttttaaagg 15 46 128900 5′UTR 3 1551 cagaccccgctgctcgtcat 51 47 128901 Start 3 1567 agcccccgacccatggcaga 19 48 Codon 128902 Coding 3 1658 gtcgttattaaccgacttct 40 49 128903 Coding 3 1739 gtcacaggtggaaaatctca 66 50 128904 Coding 3 2412 aagaggcatactcctcatag 26 51 128905 Coding 3 2447 attgatgtctgagaagatgt 0 52 128906 Coding 3 2756 ggaaagcccaaagtcacaca 47 53 128907 Coding 3 2873 ctcagcattctccaaattca 1 54 128908 Coding 3 2938 ttacagcgagatgtcatttc 0 55 128909 Coding 3 3045 gtcgccctcgatctctcaac 48 56 128910 Coding 3 3236 gccgtcttcaggaatcttct 50 57 128911 Stop 3 3265 cagaagagctatttggtagt 24 58 Codon 128912 3′UTR 3 3469 agcttatcctatgacaatgt 0 59 128913 3′UTR 3 3499 caatctcatttcctgaggaa 0 60 128914 3′UTR 3 3623 aggtatggctatatatatag 34 61 128915 3′UTR 3 3682 agttctccaataaaaccaat 18 62 128916 3′UTR 3 3746 ctgcatgtgtgattgtcaaa 47 63 128917 3′UTR 3 3840 tttgcaaaagcaagtgcaat 21 64 128918 3′UTR 3 3938 taagggcacacaggaacccc 35 65 128919 3′UTR 3 3947 caggagaaataagggcacac 47 66 128920 3′UTR 3 4027 gtagagtttotaaactaggt 58 67 128921 3′UTR 3 4083 tgcaacccatgaaggtaaaa 50 68 128922 3′UTR 3 4208 aaaggatgaaggctgggagc 2 69 128923 3′UTR 3 4304 ccattggtgtttgtatagaa 6 70 128924 3′UTR 3 4326 caggagcccagaaagatgga 20 71 128925 3′UTR 3 4333 gagcaatcaggagcccagaa 76 72 128926 3′UTR 3 4462 aaagtggcttcactttttga 38 73 128927 3′UTR 3 4540 ggactggagataactgaaaa 36 74 128928 3′UTR 3 4569 gtctccacaccttcacattt 10 75 128929 3′UTR 3 4628 ccaggtaggcagtggaaaga 42 76 128930 3′UTR 3 4789 cttaaaggagttccccttta 29 77 128931 3′UTR 3 4931 ttctgcaaaggttgagaagg 38 78 128932 3′UTR 3 4999 ttgtggacacaaattttcta 0 79 128933 3′UTR 3 5062 acacttctttgttgattaac 31 80 128934 3′UTR 3 5172 ccatccaaacagagctgata 0 81 128935 3′UTR 3 5412 ttgaatatctcatgaatgga 28 82 128936 3′UTR 3 5413 cttgaatatctcatgaatgg 0 83 128937 3′UTR 3 5692 taaaaataagtgcttgagac 20 84 128938 3′UTR 3 5731 aaacattttatttatgtaaa 0 85 128939 5′UTR 18 312 actatgccactttacttcat 0 86 128940 5′UTR 18 344 gggtatgcagtgcccctttt 30 87 128941 5′UTR 18 414 gtggctgtacagacctttcc 0 88 128942 5′UTR 18 491 attagtccccagaatcctgt 0 89 128943 5′UTR 18 497 acatgaattagtccccagaa 0 90 128944 5′UTR 18 519 atatgtcttgtaaattcagt 62 91 128945 5′UTR 18 578 ccttcctactgatgagattt 0 92 128946 5′UTR 18 665 ggtcattagttaaaaccatt 42 93 128947 5′UTR 18 738 tctcaaattcctaggctcaa 37 94 128948 5′UTR 18 854 acctcagcctcccaagtagc 5 95 128949 3′UTR 19 286 aaatggatttagctactagg 23 96 128950 3′UTR 19 287 caaatggatttagctactag 22 97

[0281] As shown in Table 1, SEQ ID NOs 21, 22, 27, 28, 33, 34, 41, 42, 44, 47, 49, 50, 53, 56, 57, 61, 63, 65, 66, 67, 68, 72, 73, 74, 76, 78, 80, 87, 91, 93 and 94 demonstrated at least 30% inhibition of human Transforming growth factor beta receptor II expression in this assay and are therefore preferred. The target sites to which these preferred sequences are complementary are herein referred to as “active sites” and are therefore preferred sites for targeting by compounds of the present invention.

Example 16

[0282] Antisense Inhibition of Mouse Transforming Growth Factor Beta Receptor II Expression by Chimeric Phosphorothioate Oligonucleotides Having 2′-MOE Wings and a Deoxy Gap.

[0283] In accordance with the present invention, a second series of oligonucleotides were designed to target different regions of the mouse Transforming growth factor beta receptor II RNA, using published sequences (GenBank accession number D32072, incorporated herein as SEQ ID NO: 10). The oligonucleotides are shown in Table 2. “Target site” indicates the first (5′-most) nucleotide number on the particular target sequence to which the oligonucleotide binds. All compounds in Table 2 are chimeric oligonucleotides (“gapmers”) 20 nucleotides in length, composed of a central “gap” region consisting of ten 2′-deoxynucleotides, which is flanked on both sides (5′ and 3′ directions) by five-nucleotide “wings”. The wings are composed of 2′-methoxyethyl (2′-MOE)nucleotides. The internucleoside (backbone) linkages are phosphorothioate (P═S) throughout the oligonucleotide. All cytidine residues are 5-methylcytidines. The compounds were analyzed for their effect on mouse Transforming growth factor beta receptor II mRNA levels by quantitative real-time PCR as described in other examples herein. Data are averages from two experiments. If present, “N.D.” indicates “no data”. TABLE 2 Inhibition of mouse Transforming growth factor beta receptor II mRNA levels by chimeric phosphorothioate oligonucleotides having 2′-MOE wings and a deoxy gap TARGET TARGET ISIS # REGION SEQ ID NO SITE SEQUENCE %INHIB SEQ ID NO 123751 Start 10 151 cagcccccgacccatggcag 78 20 Codon 123760 Coding 10 426 ctgcagttgctcatgcagga 13 21 123772 Coding 10 924 ttgtggttgatgttgttggc 63 22 123777 Coding 10 1008 ttctgcttcagcttggcctt 65 23 123786 Coding 10 1251 aggtcctcccagctgatgac 71 24 123788 Coding 10 1332 ggcatcttgggcctcccaca 61 25 123793 Coding 10 1445 catccacagacagagtaggg 29 26 123794 Coding 10 1452 gccaggtcatccacagacag 80 27 123797 Coding 10 1566 agagccatggagtagacatc 69 28 123799 Coding 10 1650 tcccgcaccttggaaccaaa 67 29 123803 Coding 10 1731 tggttgagccagaagctggg 70 30 123804 Coding 10 1741 gatgccctggtggttgagcc 62 31 123745 5′UTR 10 7 ctcggaggcccggaggaggc 38 98 123746 5′UTR 10 18 gatccccggagctcggaggc 63 99 123747 5′UTR 10 35 ggccagatgtggccggcgat 44 100 123748 5′UTR 10 78 ggaccccgggctgcgccttt 78 101 123749 5′UTR 10 105 cctggtgcgccacgaaccga 70 102 123750 5′UTR 10 132 gcccccgtcgctcgtcatag 77 103 123752 Start 10 156 cggagcagcccccgacccat 82 104 Codon 123753 Coding 10 166 ccacaggccccggagcagcc 80 105 123754 Coding 10 196 gatgcgcgtccacaggacga 58 106 123755 Coding 10 206 tcgtgctggcgatgcgcgtc 47 107 123756 Coding 10 216 tgcggcgggatcgtgctggc 63 108 123757 Coding 10 290 ggatggtcctattacagctt 61 109 123758 Coding 10 368 acttgcacagctgtggaagc 69 110 123759 Coding 10 416 tcatgcaggacttctggttg 60 111 123761 Coding 10 553 ttccagagtgaagccgtggt 55 112 123762 Coding 10 598 cgcccttttcttttccttca 56 113 123763 Coding 10 606 gtctcgcccgcccttttctt 81 114 123764 Coding 10 684 ggactgctggtggtgtattc 74 115 123765 Coding 10 738 agcggaggcaggaggctgac 68 116 123766 Coding 10 753 gctatggcaatccccagcgg 88 117 123767 Coding 10 758 tgacagctatggcaatcccc 65 118 123768 Coding 10 804 ctcagcttctgctgccggtg 44 119 123769 Coding 10 881 ggtcgtcctccaggatgatg 32 120 123770 Coding 10 905 cgcacgtggagctgatgtcg 78 121 123771 Coding 10 918 ttgatgttgttggcgcacgt 67 122 123773 Coding 10 929 ccgtgttgtggttgatgttg 76 123 123774 Coding 10 944 cgatgggcagcagctccgtg 72 124 123775 Coding 10 951 tccagctcgatgggcagcag 74 125 123776 Coding 10 993 gccttgtagacctcggcgaa 0 126 123778 Coding 10 1040 tgacagccacggtctcaaac 81 127 123779 Coding 10 1134 aggaactgcaggatgttctc 49 128 123780 Coding 10 1144 ctcggccgtcaggaactgca 36 129 123781 Coding 10 1150 ccgctcctcggccgtcagga 45 130 123782 Coding 10 1185 gtgatcagccagtactgctt 63 131 123783 Coding 10 1208 ggttgcccttcgcgtggaac 78 132 123784 Coding 10 1218 tactcctgcaggttgccctt 74 133 123785 Coding 10 1239 ctgatgacatgcctcgtgag 79 134 123787 Coding 10 1276 ggccagggagctgcccagct 86 135 123789 Coding 10 1350 aggtccctgtgaacaatggg 83 136 123790 Coding 10 1364 tgttagagctcttgaggtcc 63 137 123791 Coding 10 1380 tcgttcttcactaggatgtt 78 138 123792 Coding 10 1424 ccaggcgcaaggacagcccg 64 139 123795 Coding 10 1515 ttcatcctggattctagaac 29 140 123796 Coding 10 1558 ggagtagacatccgtctgct 28 141 123798 Coding 10 1593 cagcgggacgtcatttccca 30 142 123800 Coding 10 1674 ttcatgctctccacacaggg 66 143 123801 Coding 10 1709 tttccggccgccctcggtct 55 144 123802 Coding 10 1718 agctgggaatttccggccgc 56 145 123805 Coding 10 1752 cacacgatctggatgccctg 79 146 123806 Coding 10 1779 tggtcccagcactcggtcaa 70 147 123807 Coding 10 1879 cttctcctgggagcagctcc 31 148 123808 Stop 10 1923 agaaaaagctatttggtagt 47 149 Codon 123809 3′UTR 10 1935 cccagcctgcccagaaaaag 77 150 123810 3′UTR 10 2034 ggaagaagggagcaagtcct 0 151 123811 3′UTR 10 2086 ctatggttgttgctgctgct 59 152 123812 3′UTR 10 2151 tgccatgacagtctccaagg 77 153 123813 3′UTR 10 2259 tataaaacatagctattcgt 73 154 123814 3′UTR 10 2422 taggaaggagagtgttgatg 40 155 123815 3′UTR 10 2527 ttgtttctgagccagacagt 71 156 123816 3′UTR 10 2785 cagttcactcccttttaatg 22 157 123817 3′UTR 10 2870 acagaacctcacacctggcg 63 158 123818 3′UTR 10 2977 agagagagaaaggcaagctg 36 159 123819 3′UTR 10 3033 cttaaaccacatcagaaatc 66 160 123820 3′UTR 10 3110 tatttagtgtctttctgqqt 65 161 123821 3′UTR 10 3452 gattqttcattcagatgaga 10 162 123822 3′UTR 10 3804 gtgtggtattattcaggatc 19 163

[0284] As shown in Table 2, SEQ ID NOs 20, 22, 23, 24, 25, 27, 28, 29, 30, 31, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 121, 122, 123, 124, 125, 127, 128, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 143, 144, 145, 146, 147, 149, 150, 152, 153, 154, 155, 156, 158, 160 and 161 demonstrated at least 40% inhibition of mouse Transforming growth factor beta receptor II expression in this experiment and are therefore preferred. The target sites to which these preferred sequences are complementary are herein referred to as “active sites” and are therefore preferred sites for targeting by compounds of the present invention.

Example 17

[0285] Western Blot Analysis of Transforming Growth Factor Beta Receptor II Protein Levels

[0286] Western blot analysis (immunoblot analysis) is carried out using standard methods. Cells are harvested 16-20 h after oligonucleotide treatment, washed once with PBS, suspended in Laemmli buffer (100 ul/well), boiled for 5 minutes and loaded on a 16% SDS-PAGE gel. Gels are run for 1.5 hours at 150 V, and transferred to membrane for western blotting. Appropriate primary antibody directed to Transforming growth factor beta receptor II is used, with a radiolabelled or fluorescently labeled secondary antibody directed against the primary antibody species. Bands are visualized using a PHOSPHORIMAGER™ (Molecular Dynamics, Sunnyvale Calif.).

1 163 1 20 DNA Artificial Sequence Antisense Oligonucleotide 1 tccgtcatcg ctcctcaggg 20 2 20 DNA Artificial Sequence Antisense Oligonucleotide 2 atgcattctg cccccaagga 20 3 5759 DNA Homo sapiens CDS (1573)...(3276) 3 ataccctgtg gtgctagtgt aaaatcaaat ataatctacc tctttagctt ttctgttatg 60 taattggaat gaaaaaatag tgcttttttt tttttttcat ttttgagatt gagttaccat 120 ggagggaaag aacatgtgtt ttaccagtgg aacgcattct ttgtgttatc tcttcgattt 180 ttaacatttt atgtttccag tttataaact ttgcctccag tttgatgaag aaaatttagc 240 tattagaaag tatttaaaat ctcaaaagta tgacatttta aaatgttagc aggtttaaag 300 ataacttagt ttttcaactc ttaacccaaa attatacttg tatactataa tttgtgttga 360 attacttggt attatttatc atcctagtaa gatctatttt atataatttg attcactttt 420 tatattgaat tatgttaatt gtttttgtaa tacacctttc atatttcttc aaagaaaact 480 agtgttgggt tattgctaat tttgcttcgt ggtttggtta tttacatata aaaattatat 540 tgttttaaaa attgcaaagt gatcatttat tgacacatca gcaagaatta atgttgaaat 600 gcaagttttt tcccctatcc ttaactaagt gtgtagatat ctttgttttg tttctttaat 660 agatagcaaa caataaagat gcattgagga agacatggaa ccctaagttt acattgagaa 720 gtcactttga tggcatccga gcccttgctt tccatcccat tgagcctgtt ttgataacag 780 catcagagga tcacacatta aaaatgtgga atttacagaa aacagcccca gccaaaaagt 840 gagaatattc tactttaaca ttatttgaat attttaagta acattttcag cagaaaacta 900 catattttat gatttctgtt aaatttccca aacatttctt ctagttcttt cttccatgtc 960 atgtaattta ttgtgttttt ccatttatac aacctaatgc taggttagaa aactgatgct 1020 taggaagata tggtattatc ttttggtttc accagggttt gtgaatactg attacagtct 1080 ttatacataa cagtattttt aaatggctgc tatatttggg gagccccttg tctatactga 1140 aggtttggac tgttcttgta aacaggtata tgcatcttta aaataatcaa atgtccacct 1200 ccaccttgcc ccattgttta ctagatttag acttatgaga tggagcagag aaaagcctca 1260 ctgggatggg tggagggtct tggtcttgtc ttttggcctt gagactttag gtactttcca 1320 tacccaccaa tatgtctaga ctcagaggct aacatgactg ctagtgctca ccttggccct 1380 ttagttcctg tctaagcatg gatagacatg agttagtata aaccctttaa aagtcacaaa 1440 gctaaatctg gttctacttg cttgggtcct tatcggagct ccactccttt gggtcacatg 1500 tcaaaaaaaa aaaaaaaaag gcgccgtccg ctgcgctggg ggctcggtct atgacgagca 1560 gcggggtctg cc atg ggt cgg ggg ctg ctc agg ggc ctg tgg ccg ctg cac 1611 Met Gly Arg Gly Leu Leu Arg Gly Leu Trp Pro Leu His 1 5 10 atc gtc ctg tgg acg cgt atc gcc agc acg atc cca ccg cac gtt cag 1659 Ile Val Leu Trp Thr Arg Ile Ala Ser Thr Ile Pro Pro His Val Gln 15 20 25 aag tcg gtt aat aac gac atg ata gtc act gac aac aac ggt gca gtc 1707 Lys Ser Val Asn Asn Asp Met Ile Val Thr Asp Asn Asn Gly Ala Val 30 35 40 45 aag ttt cca caa ctg tgt aaa ttt tgt gat gtg aga ttt tcc acc tgt 1755 Lys Phe Pro Gln Leu Cys Lys Phe Cys Asp Val Arg Phe Ser Thr Cys 50 55 60 gac aac cag aaa tcc tgc atg agc aac tgc agc atc acc tcc atc tgt 1803 Asp Asn Gln Lys Ser Cys Met Ser Asn Cys Ser Ile Thr Ser Ile Cys 65 70 75 gag aag cca cag gaa gtc tgt gtg gct gta tgg aga aag aat gac gag 1851 Glu Lys Pro Gln Glu Val Cys Val Ala Val Trp Arg Lys Asn Asp Glu 80 85 90 aac ata aca cta gag aca gtt tgc cat gac ccc aag ctc ccc tac cat 1899 Asn Ile Thr Leu Glu Thr Val Cys His Asp Pro Lys Leu Pro Tyr His 95 100 105 gac ttt att ctg gaa gat gct gct tct cca aag tgc att atg aag gaa 1947 Asp Phe Ile Leu Glu Asp Ala Ala Ser Pro Lys Cys Ile Met Lys Glu 110 115 120 125 aaa aaa aag cct ggt gag act ttc ttc atg tgt tcc tgt agc tct gat 1995 Lys Lys Lys Pro Gly Glu Thr Phe Phe Met Cys Ser Cys Ser Ser Asp 130 135 140 gag tgc aat gac aac atc atc ttc tca gaa gaa tat aac acc agc aat 2043 Glu Cys Asn Asp Asn Ile Ile Phe Ser Glu Glu Tyr Asn Thr Ser Asn 145 150 155 cct gac ttg ttg cta gtc ata ttt caa gtg aca ggc atc agc ctc ctg 2091 Pro Asp Leu Leu Leu Val Ile Phe Gln Val Thr Gly Ile Ser Leu Leu 160 165 170 cca cca ctg gga gtt gcc ata tct gtc atc atc atc ttc tac tgc tac 2139 Pro Pro Leu Gly Val Ala Ile Ser Val Ile Ile Ile Phe Tyr Cys Tyr 175 180 185 cgc gtt aac cgg cag cag aag ctg agt tca acc tgg gaa acc ggc aag 2187 Arg Val Asn Arg Gln Gln Lys Leu Ser Ser Thr Trp Glu Thr Gly Lys 190 195 200 205 acg cgg aag ctc atg gag ttc agc gag cac tgt gcc atc atc ctg gaa 2235 Thr Arg Lys Leu Met Glu Phe Ser Glu His Cys Ala Ile Ile Leu Glu 210 215 220 gat gac cgc tct gac atc agc tcc acg tgt gcc aac aac atc aac cac 2283 Asp Asp Arg Ser Asp Ile Ser Ser Thr Cys Ala Asn Asn Ile Asn His 225 230 235 aac aca gag ctg ctg ccc att gag ctg gac acc ctg gtg ggg aaa ggt 2331 Asn Thr Glu Leu Leu Pro Ile Glu Leu Asp Thr Leu Val Gly Lys Gly 240 245 250 cgc ttt gct gag gtc tat aag gcc aag ctg aag cag aac act tca gag 2379 Arg Phe Ala Glu Val Tyr Lys Ala Lys Leu Lys Gln Asn Thr Ser Glu 255 260 265 cag ttt gag aca gtg gca gtc aag atc ttt ccc tat gag gag tat gcc 2427 Gln Phe Glu Thr Val Ala Val Lys Ile Phe Pro Tyr Glu Glu Tyr Ala 270 275 280 285 tct tgg aag aca gag aag gac atc ttc tca gac atc aat ctg aag cat 2475 Ser Trp Lys Thr Glu Lys Asp Ile Phe Ser Asp Ile Asn Leu Lys His 290 295 300 gag aac ata ctc cag ttc ctg acg gct gag gag cgg aag acg gag ttg 2523 Glu Asn Ile Leu Gln Phe Leu Thr Ala Glu Glu Arg Lys Thr Glu Leu 305 310 315 ggg aaa caa tac tgg ctg atc acc gcc ttc cac gcc aag ggc aac cta 2571 Gly Lys Gln Tyr Trp Leu Ile Thr Ala Phe His Ala Lys Gly Asn Leu 320 325 330 cag gag tac ctg acg cgg cat gtc atc agc tgg gag gac ctg cgc aag 2619 Gln Glu Tyr Leu Thr Arg His Val Ile Ser Trp Glu Asp Leu Arg Lys 335 340 345 ctg ggc agc tcc ctc gcc cgg ggg att gct cac ctc cac agt gat cac 2667 Leu Gly Ser Ser Leu Ala Arg Gly Ile Ala His Leu His Ser Asp His 350 355 360 365 act cca tgt ggg agg ccc aag atg ccc atc gtg cac agg gac ctc aac 2715 Thr Pro Cys Gly Arg Pro Lys Met Pro Ile Val His Arg Asp Leu Asn 370 375 380 agc tcc aat atc ctc gtg aag aac gac cta acc tgc tgc ctg tgt gac 2763 Ser Ser Asn Ile Leu Val Lys Asn Asp Leu Thr Cys Cys Leu Cys Asp 385 390 395 ttt ggg ctt tcc ctg cgt ctg gac cct act ctg tct gtg gat gac ctg 2811 Phe Gly Leu Ser Leu Arg Leu Asp Pro Thr Leu Ser Val Asp Asp Leu 400 405 410 gct aac agt ggg cag gtg gga act gca aga tac atg gct cca gaa gtc 2859 Ala Asn Ser Gly Gln Val Gly Thr Ala Arg Tyr Met Ala Pro Glu Val 415 420 425 cta gaa tcc agg atg aat ttg gag aat gct gag tcc ttc aag cag acc 2907 Leu Glu Ser Arg Met Asn Leu Glu Asn Ala Glu Ser Phe Lys Gln Thr 430 435 440 445 gat gtc tac tcc atg gct ctg gtg ctc tgg gaa atg aca tct cgc tgt 2955 Asp Val Tyr Ser Met Ala Leu Val Leu Trp Glu Met Thr Ser Arg Cys 450 455 460 aat gca gtg gga gaa gta aaa gat tat gag cct cca ttt ggt tcc aag 3003 Asn Ala Val Gly Glu Val Lys Asp Tyr Glu Pro Pro Phe Gly Ser Lys 465 470 475 gtg cgg gag cac ccc tgt gtc gaa agc atg aag gac aac gtg ttg aga 3051 Val Arg Glu His Pro Cys Val Glu Ser Met Lys Asp Asn Val Leu Arg 480 485 490 gat cga ggg cga cca gaa att ccc agc ttc tgg ctc aac cac cag ggc 3099 Asp Arg Gly Arg Pro Glu Ile Pro Ser Phe Trp Leu Asn His Gln Gly 495 500 505 atc cag atg gtg tgt gag acg ttg act gag tgc tgg gac cac gac cca 3147 Ile Gln Met Val Cys Glu Thr Leu Thr Glu Cys Trp Asp His Asp Pro 510 515 520 525 gag gcc cgt ctc aca gcc cag tgt gtg gca gaa cgc ttc agt gag ctg 3195 Glu Ala Arg Leu Thr Ala Gln Cys Val Ala Glu Arg Phe Ser Glu Leu 530 535 540 gag cat ctg gac agg ctc tcg ggg agg agc tgc tcg gag gag aag att 3243 Glu His Leu Asp Arg Leu Ser Gly Arg Ser Cys Ser Glu Glu Lys Ile 545 550 555 cct gaa gac ggc tcc cta aac act acc aaa tag ctcttctggg gcaggctggg 3296 Pro Glu Asp Gly Ser Leu Asn Thr Thr Lys 560 565 ccatgtccaa agaggctgcc cctctcacca aagaacagag gcagcaggaa gctgcccctg 3356 aactgatgct tcctggaaaa ccaagggggt cactcccctc cctgtaagct gtggggataa 3416 gcagaaacaa cagcagcagg gagtgggtga catagagcat tctatgcctt ttacattgtc 3476 ataggataag ctgtgttagc acttcctcag gaaatgagat tgattttaca atagccaata 3536 acatttgcac tttattaatg cctgtatata aatatgaata gctatgtttt atatatatat 3596 atatatatct atatatgtct atagctctat atatatagcc ataccttgaa aagagacaag 3656 gaaaaacatc aaatattccc aggaaattgg ttttattgga gaactccaga accaagcaga 3716 gaaggaaggg acccatgaca gcattagcat ttgacaatca cacatgcagt ggttctctga 3776 ctgtaaaaca gtgaactttg catgaggaaa gaggctccat gtctcacagc cagctatgac 3836 cacattgcac ttgcttttgc aaaataatca ttccctgcct agcacttctc ttctggccat 3896 ggaactaagt acagtggcac tgtttgagga ccagtgttcc cggggttcct gtgtgccctt 3956 atttctcctg gacttttcat ttaagctcca agccccaaat ctggggggct agtttagaaa 4016 ctctccctca acctagttta gaaactctac cccatcttta ataccttgaa tgttttgaac 4076 cccacttttt accttcatgg gttgcagaaa aatcagaaca gatgtcccca tccatgcgat 4136 tgccccacca tctactaatg aaaaattgtt ctttttttca tctttcccct gcacttatgt 4196 tactattctc tgctcccagc cttcatcctt ttctaaaaag gagcaaattc tcactctagg 4256 ctttatcgtg tttacttttt cattacactt gacttgattt tctagttttc tatacaaaca 4316 ccaatgggtt ccatctttct gggctcctga ttgctcaagc acagtttggc ctgatgaaga 4376 ggatttcaac tacacaatac tatcattgtc aggactatga cctcaggcac tctaaacata 4436 tgttttgttt ggtcagcaca gcgtttcaaa aagtgaagcc actttataaa tatttggaga 4496 ttttgcagga aaatctggat ccccaggtaa ggatagcaga tggttttcag ttatctccag 4556 tccacgttca caaaatgtga aggtgtggag acacttacaa agctgcctca cttctcactg 4616 taaacattag ctctttccac tgcctacctg gaccccagtc taggaattaa atctgcacct 4676 aaccaaggtc ccttgtaaga aatgtccatt caagcagtca ttctctgggt atataatatg 4736 attttgacta ccttatctgg tgttaagatt tgaagttggc cttttattgg actaaagggg 4796 aactccttta agggtctcag ttagcccaag tttcttttgc ttatatgtta atagttttac 4856 cctctgcatt ggagagagga gtgctttact ccaagaagct ttcctcatgg ttaccgttct 4916 ctccatcatg ccagccttct caacctttgc agaaattact agagaggatt tgaatgtggg 4976 acacaaaggt cccatttgca gttagaaaat ttgtgtccac aaggacaaga acaaagtatg 5036 agctttaaaa ctccatagga aacttgttaa tcaacaaaga agtgttaatg ctgcaagtaa 5096 tctctttttt aaaacttttt gaagctactt attttcagcc aaataggaat attagagagg 5156 gactggtagt gagaatatca gctctgtttg gatggtggaa ggtctcattt tattgagatt 5216 tttaagatac atgcaaaggt ttggaaatag aacctctagg caccctcctc agtgtgggtg 5276 ggctgagagt taaagacagt gtggctgcag tagcatagag gcgcctagaa attccacttg 5336 caccgtaggg catgctgata ccatcccaat agctgttgcc cattgacctc tagtggtgag 5396 tttctagaat actggtccat tcatgagata ttcaagattc aagagtattc tcacttctgg 5456 gttatcagca taaactggaa tgtagtgtca gaggatactg tggcttgttt tgtttatgtt 5516 tttttttctt attcaagaaa aaagaccaag gaataacatt ctgtagttcc taaaaatact 5576 gacttttttc actactatac ataaagggaa agttttattc ttttatggaa cacttcagct 5636 gtactcatgt attaaaatag gaatgtgaat gctatatact ctttttatat caaaagtctc 5696 aagcacttat ttttattcta tgcattgttt gtcttttaca taaataaaat gtttattaga 5756 ttg 5759 4 19 DNA Artificial Sequence PCR Primer 4 agagatcgag ggcgaccag 19 5 22 DNA Artificial Sequence PCR Primer 5 tcaacgtctc acacaccatc tg 22 6 24 DNA Artificial Sequence PCR Probe 6 tcccagcttc tggctcaacc acca 24 7 19 DNA Artificial Sequence PCR Primer 7 gaaggtgaag gtcggagtc 19 8 20 DNA Artificial Sequence PCR Primer 8 gaagatggtg atgggatttc 20 9 20 DNA Artificial Sequence PCR Probe 9 caagcttccc gttctcagcc 20 10 3839 DNA Mus musculus CDS (156)...(1934) 10 ccgggggcct cctccgggcc tccgagctcc ggggatcgcc ggccacatct ggcccgcatc 60 ctgagagggc gaggagtaaa ggcgcagccc ggggtccccg aggctcggtt cgtggcgcac 120 caggggccgg tctatgacga gcgacggggg ctgcc atg ggt cgg ggg ctg ctc 173 Met Gly Arg Gly Leu Leu 1 5 cgg ggc ctg tgg ccg ctg cat atc gtc ctg tgg acg cgc atc gcc agc 221 Arg Gly Leu Trp Pro Leu His Ile Val Leu Trp Thr Arg Ile Ala Ser 10 15 20 acg atc ccg ccg cac gtt ccc aag tcg gat gtg gaa atg gaa gcc cag 269 Thr Ile Pro Pro His Val Pro Lys Ser Asp Val Glu Met Glu Ala Gln 25 30 35 aaa gat gca tcc atc cac cta agc tgt aat agg acc atc cat cca ctg 317 Lys Asp Ala Ser Ile His Leu Ser Cys Asn Arg Thr Ile His Pro Leu 40 45 50 aaa cat ttt aac agt gat gtc atg gcc agc gac aat ggc ggt gcg gtc 365 Lys His Phe Asn Ser Asp Val Met Ala Ser Asp Asn Gly Gly Ala Val 55 60 65 70 aag ctt cca cag ctg tgc aag ttt tgc gat gtg aga ctg tcc act tgc 413 Lys Leu Pro Gln Leu Cys Lys Phe Cys Asp Val Arg Leu Ser Thr Cys 75 80 85 gac aac cag aag tcc tgc atg agc aac tgc agc atc acg gcc atc tgt 461 Asp Asn Gln Lys Ser Cys Met Ser Asn Cys Ser Ile Thr Ala Ile Cys 90 95 100 gag aag ccg cat gaa gtc tgc gtg gcc gtg tgg agg aag aac gac aag 509 Glu Lys Pro His Glu Val Cys Val Ala Val Trp Arg Lys Asn Asp Lys 105 110 115 aac att act ctg gag acg gtt tgc cac gac ccc aag ctc acc tac cac 557 Asn Ile Thr Leu Glu Thr Val Cys His Asp Pro Lys Leu Thr Tyr His 120 125 130 ggc ttc act ctg gaa gat gcc gct tct ccc aag tgt gtc atg aag gaa 605 Gly Phe Thr Leu Glu Asp Ala Ala Ser Pro Lys Cys Val Met Lys Glu 135 140 145 150 aag aaa agg gcg ggc gag act ttc ttc atg tgt gcc tgt aac atg gaa 653 Lys Lys Arg Ala Gly Glu Thr Phe Phe Met Cys Ala Cys Asn Met Glu 155 160 165 gag tgc aac gat tac atc atc ttt tcg gaa gaa tac acc acc agc agt 701 Glu Cys Asn Asp Tyr Ile Ile Phe Ser Glu Glu Tyr Thr Thr Ser Ser 170 175 180 ccc gac ctg ttg ttg gtc att atc caa gtg acg ggt gtc agc ctc ctg 749 Pro Asp Leu Leu Leu Val Ile Ile Gln Val Thr Gly Val Ser Leu Leu 185 190 195 cct ccg ctg ggg att gcc ata gct gtc atc atc atc ttc tac tgc tac 797 Pro Pro Leu Gly Ile Ala Ile Ala Val Ile Ile Ile Phe Tyr Cys Tyr 200 205 210 cgt gtc cac cgg cag cag aag ctg agc ccg tcc tgg gag agc agc aag 845 Arg Val His Arg Gln Gln Lys Leu Ser Pro Ser Trp Glu Ser Ser Lys 215 220 225 230 ccc cgg aaa ctg atg gat ttc agt gac aat tgt gcc atc atc ctg gag 893 Pro Arg Lys Leu Met Asp Phe Ser Asp Asn Cys Ala Ile Ile Leu Glu 235 240 245 gac gac cgc tcc gac atc agc tcc acg tgc gcc aac aac atc aac cac 941 Asp Asp Arg Ser Asp Ile Ser Ser Thr Cys Ala Asn Asn Ile Asn His 250 255 260 aac acg gag ctg ctg ccc atc gag ctg gac acg ctg gtg ggg aag ggc 989 Asn Thr Glu Leu Leu Pro Ile Glu Leu Asp Thr Leu Val Gly Lys Gly 265 270 275 cgc ttc gcc gag gtc tac aag gcc aag ctg aag cag aac acc tca gag 1037 Arg Phe Ala Glu Val Tyr Lys Ala Lys Leu Lys Gln Asn Thr Ser Glu 280 285 290 cag ttt gag acc gtg gct gtc aag atc ttc ccc tac gag gag tac tcc 1085 Gln Phe Glu Thr Val Ala Val Lys Ile Phe Pro Tyr Glu Glu Tyr Ser 295 300 305 310 tcg tgg aaa aca gag aag gac atc ttc tcc gat atc aac ctg aag cat 1133 Ser Trp Lys Thr Glu Lys Asp Ile Phe Ser Asp Ile Asn Leu Lys His 315 320 325 gag aac atc ctg cag ttc ctg acg gcc gag gag cgg aag aca gag ctg 1181 Glu Asn Ile Leu Gln Phe Leu Thr Ala Glu Glu Arg Lys Thr Glu Leu 330 335 340 ggc aag cag tac tgg ctg atc acg gcg ttc cac gcg aag ggc aac ctg 1229 Gly Lys Gln Tyr Trp Leu Ile Thr Ala Phe His Ala Lys Gly Asn Leu 345 350 355 cag gag tac ctc acg agg cat gtc atc agc tgg gag gac ctg agg aag 1277 Gln Glu Tyr Leu Thr Arg His Val Ile Ser Trp Glu Asp Leu Arg Lys 360 365 370 ctg ggc agc tcc ctg gcc cgg ggc atc gct cat ctc cac agt gac cac 1325 Leu Gly Ser Ser Leu Ala Arg Gly Ile Ala His Leu His Ser Asp His 375 380 385 390 act cct tgt ggg agg ccc aag atg ccc att gtt cac agg gac ctc aag 1373 Thr Pro Cys Gly Arg Pro Lys Met Pro Ile Val His Arg Asp Leu Lys 395 400 405 agc tct aac atc cta gtg aag aac gac ttg acc tgt tgc ctg tgt gac 1421 Ser Ser Asn Ile Leu Val Lys Asn Asp Leu Thr Cys Cys Leu Cys Asp 410 415 420 ttc ggg ctg tcc ttg cgc ctg gac cct act ctg tct gtg gat gac ctg 1469 Phe Gly Leu Ser Leu Arg Leu Asp Pro Thr Leu Ser Val Asp Asp Leu 425 430 435 gcc aac agc ggg cag gtg gga acg gca aga tac atg gcc ccg gaa gtt 1517 Ala Asn Ser Gly Gln Val Gly Thr Ala Arg Tyr Met Ala Pro Glu Val 440 445 450 cta gaa tcc agg atg aat ctg gaa aac gtg gag tcg ttc aag cag acg 1565 Leu Glu Ser Arg Met Asn Leu Glu Asn Val Glu Ser Phe Lys Gln Thr 455 460 465 470 gat gtc tac tcc atg gct ctg gta ctc tgg gaa atg acg tcc cgc tgc 1613 Asp Val Tyr Ser Met Ala Leu Val Leu Trp Glu Met Thr Ser Arg Cys 475 480 485 aat gct gtg gga gaa gtg aag gat tac gag ccc cca ttt ggt tcc aag 1661 Asn Ala Val Gly Glu Val Lys Asp Tyr Glu Pro Pro Phe Gly Ser Lys 490 495 500 gtg cgg gag cac ccc tgt gtg gag agc atg aaa gac agt gtg ctg aga 1709 Val Arg Glu His Pro Cys Val Glu Ser Met Lys Asp Ser Val Leu Arg 505 510 515 gac cga ggg cgg ccg gaa att ccc agc ttc tgg ctc aac cac cag ggc 1757 Asp Arg Gly Arg Pro Glu Ile Pro Ser Phe Trp Leu Asn His Gln Gly 520 525 530 atc cag atc gtg tgt gag act ttg acc gag tgc tgg gac cat gac ccc 1805 Ile Gln Ile Val Cys Glu Thr Leu Thr Glu Cys Trp Asp His Asp Pro 535 540 545 550 gaa gcc cgt ctc aca gca cag tgt gtg gca gag cgc ttc agt gag ctg 1853 Glu Ala Arg Leu Thr Ala Gln Cys Val Ala Glu Arg Phe Ser Glu Leu 555 560 565 gag cat ccg gag aga ctc tct ggg agg agc tgc tcc cag gag aag att 1901 Glu His Pro Glu Arg Leu Ser Gly Arg Ser Cys Ser Gln Glu Lys Ile 570 575 580 cca gaa gat ggc tcg ctg aac act acc aaa tag ctttttctgg gcaggctggg 1954 Pro Glu Asp Gly Ser Leu Asn Thr Thr Lys 585 590 ccaagcctcc agaagccgtc ctctagccaa agaccagagg cagcaggatt ctctcctgac 2014 tgatgcttct ggaaaaccaa ggacttgctc ccttcttccc caggagctgc cccgtgttta 2074 gaagcggcag cagcagcagc aacaaccata gcggcggtgg cagcggcggg ggatgagtga 2134 cagagagcgt cctatgcctt ggagactgtc atggcataag ctgtgctagc acctcctcag 2194 gaaatgagat tgatttttac aacagccaat aacgtttgca ctttattaat gcctgtgtgt 2254 aaatacgaat agctatgttt tatatatatc tatatatcta tatgtctata tctctctata 2314 tatagccata ctctgcaagg agaccggtgt tttctttttg gtaacttgaa cgcataggga 2374 gcttctttcc gggtctctgg attgtgtgtt tctaccttag ggtatctcat caacactctc 2434 cttcctaaca gttgctaagg agtacttgaa gtttgtcagt ggacacactt ggttctcttt 2494 ggagccatgg ctgctctgta gctagtccat tcactgtctg gctcagaaac aatactgaca 2554 agatgaatga attataatca ccccctttag tttatttaaa ttttatctta ttttccttca 2614 caaccgtatt ctcagctttt gtcgtgttta acctgataaa ttattctgaa ctgaaatcca 2674 agagacactt tgctgggctc caagagagac tgcacggaaa ggactaagag aaaactctta 2734 ttactttcaa actgttatgc gagggataga tgccgtttcc tccatctcca cattaaaagg 2794 gagtgaactg cccgtggcca tagaaccata catgcagtgg tctctggact cctacaaagc 2854 aaactccttc tatcccgcca ggtgtgaggt tctgtgctta agcaccagac acgccctaac 2914 cacaagaact tgttctcctg ctgtaaacat gatcttctct ttcttccctc aggctccctc 2974 ttcagcttgc ctttctctct ctctctctgc cagcttgccc tgcccccaca aagactctga 3034 tttctgatgt ggtttaagct gcctgtttag attctggctg caaccactta tatctaccaa 3094 tgtggctcct ctctcaccca gaaagacact aaatacaaag gcgtctgctt ttatttcctt 3154 agacatcctt cacagaccac agtgttggct ataagctttt tccattatgc aaggtttcta 3214 tttttcaaga gcaactatgc ttcaagtcct acctgctgtt ttgtatattt taaatctcct 3274 ttgattgtta agtgttgaag gcatgcacaa ctttgcatgg agcagtaatt gtgcatacat 3334 agtatcagct gaaagtgaca tggaaatttc cagaatagca ttcacagctg tgagagttga 3394 agcctgtggg gctatatgac cagagacaga gaattagaaa atcttggttt atacttgtct 3454 catctgaatg aacaatctta aaccaatggc tcagagagtt gagctgccaa gctcaattca 3514 gagagatact atcttttttt tttcccttct tcttctgttc aaacttcgac aagctgtaga 3574 caatctgcta atctttagtc atatagaaac ataaatctct catgtgagaa gaataaaata 3634 cgagaacaat tcaaattaga tccatgtgtt aaatccctct ggcccactta cataggcaac 3694 ttcccttaca cattttgggg aacagtctgt tagaatattt actcaactga agtctatttc 3754 tagtataatt tctctatata tcccaacctg gggagatacg caagagtctg atcctgaata 3814 ataccacaca gaaaaaggcg gccgc 3839 11 17 DNA Artificial Sequence PCR Primer 11 cgaccgctcc gacatca 17 12 17 DNA Artificial Sequence PCR Primer 12 tcgatgggca gcagctc 17 13 23 DNA Artificial Sequence PCR Probe 13 ctccacgtgc gccaacaaca tca 23 14 20 DNA Artificial Sequence PCR Primer 14 ggcaaattca acggcacagt 20 15 20 DNA Artificial Sequence PCR Primer 15 gggtctcgct cctggaagat 20 16 27 DNA Artificial Sequence PCR Probe 16 aaggccgaga atgggaagct tgtcatc 27 17 2090 DNA Homo sapiens CDS (336)...(2039) 17 gttggcgagg agtttcctgt ttcccccgca gcgctgagtt gaagttgagt gagtcactcg 60 cgcgcacgga gcgacgacac ccccgcgcgt gcacccgctc gggacaggag ccggactcct 120 gtgcagcttc cctcggccgc cgggggcctc cccgcgcctc gccggcctcc aggcccctcc 180 tggctggcga gcgggcgcca catctggccc gcacatctgc gctgccggcc cggcgcgggg 240 tccggagagg gcgcggcgcg gagcgcagcc aggggtccgg gaaggcgccg tccgtgcgct 300 gggggctcgg tctatgacga gcagcggggt ctgcc atg ggt cgg ggg ctg ctc 353 Met Gly Arg Gly Leu Leu 1 5 agg ggc ctg tgg ccg ctg cac atc gtc ctg tgg acg cgt atc gcc agc 401 Arg Gly Leu Trp Pro Leu His Ile Val Leu Trp Thr Arg Ile Ala Ser 10 15 20 acg atc cca ccg cac gtt cag aag tcg gtt aat aac gac atg ata gtc 449 Thr Ile Pro Pro His Val Gln Lys Ser Val Asn Asn Asp Met Ile Val 25 30 35 act gac aac aac ggt gca gtc aag ttt cca caa ctg tgt aaa ttt tgt 497 Thr Asp Asn Asn Gly Ala Val Lys Phe Pro Gln Leu Cys Lys Phe Cys 40 45 50 gat gtg aga ttt tcc acc tgt gac aac cag aaa tcc tgc atg agc aac 545 Asp Val Arg Phe Ser Thr Cys Asp Asn Gln Lys Ser Cys Met Ser Asn 55 60 65 70 tgc agc atc acc tcc atc tgt gag aag cca cag gaa gtc tgt gtg gct 593 Cys Ser Ile Thr Ser Ile Cys Glu Lys Pro Gln Glu Val Cys Val Ala 75 80 85 gta tgg aga aag aat gac gag aac ata aca cta gag aca gtt tgc cat 641 Val Trp Arg Lys Asn Asp Glu Asn Ile Thr Leu Glu Thr Val Cys His 90 95 100 gac ccc aag ctc ccc tac cat gac ttt att ctg gaa gat gct gct tct 689 Asp Pro Lys Leu Pro Tyr His Asp Phe Ile Leu Glu Asp Ala Ala Ser 105 110 115 cca aag tgc att atg aag gaa aaa aaa aag cct ggt gag act ttc ttc 737 Pro Lys Cys Ile Met Lys Glu Lys Lys Lys Pro Gly Glu Thr Phe Phe 120 125 130 atg tgt tcc tgt agc tct gat gag tgc aat gac aac atc atc ttc tca 785 Met Cys Ser Cys Ser Ser Asp Glu Cys Asn Asp Asn Ile Ile Phe Ser 135 140 145 150 gaa gaa tat aac acc agc aat cct gac ttg ttg cta gtc ata ttt caa 833 Glu Glu Tyr Asn Thr Ser Asn Pro Asp Leu Leu Leu Val Ile Phe Gln 155 160 165 gtg aca ggc atc agc ctc ctg cca cca ctg gga gtt gcc ata tct gtc 881 Val Thr Gly Ile Ser Leu Leu Pro Pro Leu Gly Val Ala Ile Ser Val 170 175 180 atc atc atc ttc tac tgc tac cgc gtt aac cgg cag cag aag ctg agt 929 Ile Ile Ile Phe Tyr Cys Tyr Arg Val Asn Arg Gln Gln Lys Leu Ser 185 190 195 tca acc tgg gaa acc ggc aag acg cgg aag ctc atg gag ttc agc gag 977 Ser Thr Trp Glu Thr Gly Lys Thr Arg Lys Leu Met Glu Phe Ser Glu 200 205 210 cac tgt gcc atc atc ctg gaa gat gac cgc tct gac atc agc tcc acg 1025 His Cys Ala Ile Ile Leu Glu Asp Asp Arg Ser Asp Ile Ser Ser Thr 215 220 225 230 tgt gcc aac aac atc aac cac aac aca gag ctg ctg ccc att gag ctg 1073 Cys Ala Asn Asn Ile Asn His Asn Thr Glu Leu Leu Pro Ile Glu Leu 235 240 245 gac acc ctg gtg ggg aaa ggt cgc ttt gct gag gtc tat aag gcc aag 1121 Asp Thr Leu Val Gly Lys Gly Arg Phe Ala Glu Val Tyr Lys Ala Lys 250 255 260 ctg aag cag aac act tca gag cag ttt gag aca gtg gca gtc aag atc 1169 Leu Lys Gln Asn Thr Ser Glu Gln Phe Glu Thr Val Ala Val Lys Ile 265 270 275 ttt ccc tat gag gag tat gcc tct tgg aag aca gag aag gac atc ttc 1217 Phe Pro Tyr Glu Glu Tyr Ala Ser Trp Lys Thr Glu Lys Asp Ile Phe 280 285 290 tca gac atc aat ctg aag cat gag aac ata ctc cag ttc ctg acg gct 1265 Ser Asp Ile Asn Leu Lys His Glu Asn Ile Leu Gln Phe Leu Thr Ala 295 300 305 310 gag gag cgg aag acg gag ttg ggg aaa caa tac tgg ctg atc acc gcc 1313 Glu Glu Arg Lys Thr Glu Leu Gly Lys Gln Tyr Trp Leu Ile Thr Ala 315 320 325 ttc cac gcc aag ggc aac cta cag gag tac ctg acg cgg cat gtc atc 1361 Phe His Ala Lys Gly Asn Leu Gln Glu Tyr Leu Thr Arg His Val Ile 330 335 340 agc tgg gag gac ctg cgc aag ctg ggc agc tcc ctc gcc cgg ggg att 1409 Ser Trp Glu Asp Leu Arg Lys Leu Gly Ser Ser Leu Ala Arg Gly Ile 345 350 355 gct cac ctc cac agt gat cac act cca tgt ggg agg ccc aag atg ccc 1457 Ala His Leu His Ser Asp His Thr Pro Cys Gly Arg Pro Lys Met Pro 360 365 370 atc gtg cac agg gac ctc aag agc tcc aat atc ctc gtg aag aac gac 1505 Ile Val His Arg Asp Leu Lys Ser Ser Asn Ile Leu Val Lys Asn Asp 375 380 385 390 cta acc tgc tgc ctg tgt gac ttt ggg ctt tcc ctg cgt ctg gac cct 1553 Leu Thr Cys Cys Leu Cys Asp Phe Gly Leu Ser Leu Arg Leu Asp Pro 395 400 405 act ctg tct gtg gat gac ctg gct aac agt ggg cag gtg gga act gca 1601 Thr Leu Ser Val Asp Asp Leu Ala Asn Ser Gly Gln Val Gly Thr Ala 410 415 420 aga tac atg gct cca gaa gtc cta gaa tcc agg atg aat ttg gag aat 1649 Arg Tyr Met Ala Pro Glu Val Leu Glu Ser Arg Met Asn Leu Glu Asn 425 430 435 gct gag tcc ttc aag cag acc gat gtc tac tcc atg gct ctg gtg ctc 1697 Ala Glu Ser Phe Lys Gln Thr Asp Val Tyr Ser Met Ala Leu Val Leu 440 445 450 tgg gaa atg aca tct cgc tgt aat gca gtg gga gaa gta aaa gat tat 1745 Trp Glu Met Thr Ser Arg Cys Asn Ala Val Gly Glu Val Lys Asp Tyr 455 460 465 470 gag cct cca ttt ggt tcc aag gtg cgg gag cac ccc tgt gtc gaa agc 1793 Glu Pro Pro Phe Gly Ser Lys Val Arg Glu His Pro Cys Val Glu Ser 475 480 485 atg aag gac aac gtg ttg aga gat cga ggg cga cca gaa att ccc agc 1841 Met Lys Asp Asn Val Leu Arg Asp Arg Gly Arg Pro Glu Ile Pro Ser 490 495 500 ttc tgg ctc aac cac cag ggc atc cag atg gtg tgt gag acg ttg act 1889 Phe Trp Leu Asn His Gln Gly Ile Gln Met Val Cys Glu Thr Leu Thr 505 510 515 gag tgc tgg gac cac gac cca gag gcc cgt ctc aca gcc cag tgt gtg 1937 Glu Cys Trp Asp His Asp Pro Glu Ala Arg Leu Thr Ala Gln Cys Val 520 525 530 gca gaa cgc ttc agt gag ctg gag cat ctg gac agg ctc tcg ggg agg 1985 Ala Glu Arg Phe Ser Glu Leu Glu His Leu Asp Arg Leu Ser Gly Arg 535 540 545 550 agc tgc tcg gag gag aag att cct gaa gac ggc tcc cta aac act acc 2033 Ser Cys Ser Glu Glu Lys Ile Pro Glu Asp Gly Ser Leu Asn Thr Thr 555 560 565 aaa tag ctcttatggg gcaggctggg catgtccaaa gaggctgccc ctctcaccaa 2089 Lys a 2090 18 1225 DNA Homo sapiens CDS (917)...(1225) 18 aactacaaat tcacatctcc tgtgtgagcc atgggtgagt tgagtagaat ggtggtagaa 60 ttatatgggt tacattaact acttagactt tgtcctattt ttcctatatg aaaatagttg 120 aaattctcat aaaaatgcat gtatgatgtg aaactgaagt ataatgtaca gtcagataat 180 tttgaatata ttttgtgaaa tagatgttta tgatttataa cagcagtatt ttaatttcta 240 tgcagcttaa attgatgctt ggatagggga aaaggatgaa gaagaaactc aatggtatgt 300 taactgagag aatgaagtaa agtggcatag taacgacagt tataaaaggg gcactgcata 360 ccccattgct gtcaagggat tgtaaacttc cagactgggc taaacgaatg ctgggaaagg 420 tctgtacagc cacaacaagt ccttagactt aggacttaga agcttatttg cagtagttat 480 tttaggagtt acaggattct ggggactaat tcatgttaac tgaatttaca agacatatat 540 atatttagtt gagacattta attaccaaga taactagaaa tctcatcagt aggaaggtct 600 ccttgggctg tttgttgcta tgtttatgaa gatggtttca tgaacatgga gggagaagcc 660 gtaaaatggt tttaactaat gaccaggcat gatagcttat tcctttggga agccaaggcg 720 agaggatccc ttgagccttg agcctaggaa tttgagacca gcctgggcaa cataataaga 780 ccccatctgt acaaaacatt aaaagttacc tgggcataac ttttcctata atcctataat 840 tcctataatc ccagctactt gggaggctga ggtgggagga ttgcttgagc ctgggaggtc 900 gaggatgcag tgagcg atg ata cta cca ctg cat aac ctg ggc aat gga gtg 952 Met Ile Leu Pro Leu His Asn Leu Gly Asn Gly Val 1 5 10 agg tcc cat aac ttt tct ttt ctt tac ttt att ctg gaa gat gct gct 1000 Arg Ser His Asn Phe Ser Phe Leu Tyr Phe Ile Leu Glu Asp Ala Ala 15 20 25 tct cca aag tgc att atg aag gaa aaa aaa aag cct ggt gag act ttc 1048 Ser Pro Lys Cys Ile Met Lys Glu Lys Lys Lys Pro Gly Glu Thr Phe 30 35 40 ttc atg tgt tcc tgt agc tct gat gag tgc aat gac aac atc atc ttc 1096 Phe Met Cys Ser Cys Ser Ser Asp Glu Cys Asn Asp Asn Ile Ile Phe 45 50 55 60 tca gaa gaa tat aac acc agc aat cct gac ttg ttg cta gtc ata ttt 1144 Ser Glu Glu Tyr Asn Thr Ser Asn Pro Asp Leu Leu Leu Val Ile Phe 65 70 75 caa gtg aca ggc atc agc ctc ctg cca cca ctg gga gtt gcc ata tct 1192 Gln Val Thr Gly Ile Ser Leu Leu Pro Pro Leu Gly Val Ala Ile Ser 80 85 90 gtc atc atc atc ttc tac tgc tac cgc gtt aac 1225 Val Ile Ile Ile Phe Tyr Cys Tyr Arg Val Asn 95 100 19 425 DNA Homo sapiens unsure 6 unknown 19 tcggcnccga aggaaaaaag accaaggant aacattctgt antgcctaaa aatactgact 60 tttttcacta ctatacatga agggaaagnt ttattctttt atggaacact tcagctgtac 120 tcatgtatta aaataggaat gtgaatgcta tatactcttt ttatatcaaa agtctcaagc 180 acttattttt attctatgca ttgnttgtct tttacataaa taaaatgttt attagattga 240 ataaagcaaa atactcaggt gagcatcctg cctcctgttc ccattcctag tagctaaatc 300 catttgcctc atttggttat tttgcaattt atgcagaaaa cgtcaccaag taaataatct 360 ccaacttttt catactgtct ttctcaactg acagtctcac agtccttaaa aaaaaaaaaa 420 aaaaa 425 20 20 DNA Artificial Sequence Antisense Oligonucleotide 20 cagcccccga cccatggcag 20 21 20 DNA Artificial Sequence Antisense Oligonucleotide 21 ctgcagttgc tcatgcagga 20 22 20 DNA Artificial Sequence Antisense Oligonucleotide 22 ttgtggttga tgttgttggc 20 23 20 DNA Artificial Sequence Antisense Oligonucleotide 23 ttctgcttca gcttggcctt 20 24 20 DNA Artificial Sequence Antisense Oligonucleotide 24 aggtcctccc agctgatgac 20 25 20 DNA Artificial Sequence Antisense Oligonucleotide 25 ggcatcttgg gcctcccaca 20 26 20 DNA Artificial Sequence Antisense Oligonucleotide 26 catccacaga cagagtaggg 20 27 20 DNA Artificial Sequence Antisense Oligonucleotide 27 gccaggtcat ccacagacag 20 28 20 DNA Artificial Sequence Antisense Oligonucleotide 28 agagccatgg agtagacatc 20 29 20 DNA Artificial Sequence Antisense Oligonucleotide 29 tcccgcacct tggaaccaaa 20 30 20 DNA Artificial Sequence Antisense Oligonucleotide 30 tggttgagcc agaagctggg 20 31 20 DNA Artificial Sequence Antisense Oligonucleotide 31 gatgccctgg tggttgagcc 20 32 20 DNA Artificial Sequence Antisense Oligonucleotide 32 ctcactcaac ttcaactcag 20 33 20 DNA Artificial Sequence Antisense Oligonucleotide 33 cctgtcccga gcgggtgcac 20 34 20 DNA Artificial Sequence Antisense Oligonucleotide 34 gcggccgagg gaagctgcac 20 35 20 DNA Artificial Sequence Antisense Oligonucleotide 35 atatgaaagg tgtattacaa 20 36 20 DNA Artificial Sequence Antisense Oligonucleotide 36 aaaaacttgc atttcaacat 20 37 20 DNA Artificial Sequence Antisense Oligonucleotide 37 tctacacact tagttaagga 20 38 20 DNA Artificial Sequence Antisense Oligonucleotide 38 cttagggttc catgtcttcc 20 39 20 DNA Artificial Sequence Antisense Oligonucleotide 39 ataaagactg taatcagtat 20 40 20 DNA Artificial Sequence Antisense Oligonucleotide 40 gtttacaaga acagtccaaa 20 41 20 DNA Artificial Sequence Antisense Oligonucleotide 41 aagatgcata tacctgttta 20 42 20 DNA Artificial Sequence Antisense Oligonucleotide 42 catcccagtg aggcttttct 20 43 20 DNA Artificial Sequence Antisense Oligonucleotide 43 gagtctagac atattggtgg 20 44 20 DNA Artificial Sequence Antisense Oligonucleotide 44 tgttagcctc tgagtctaga 20 45 20 DNA Artificial Sequence Antisense Oligonucleotide 45 actagcagtc atgttagcct 20 46 20 DNA Artificial Sequence Antisense Oligonucleotide 46 agctttgtga cttttaaagg 20 47 20 DNA Artificial Sequence Antisense Oligonucleotide 47 cagaccccgc tgctcgtcat 20 48 20 DNA Artificial Sequence Antisense Oligonucleotide 48 agcccccgac ccatggcaga 20 49 20 DNA Artificial Sequence Antisense Oligonucleotide 49 gtcgttatta accgacttct 20 50 20 DNA Artificial Sequence Antisense Oligonucleotide 50 gtcacaggtg gaaaatctca 20 51 20 DNA Artificial Sequence Antisense Oligonucleotide 51 aagaggcata ctcctcatag 20 52 20 DNA Artificial Sequence Antisense Oligonucleotide 52 attgatgtct gagaagatgt 20 53 20 DNA Artificial Sequence Antisense Oligonucleotide 53 ggaaagccca aagtcacaca 20 54 20 DNA Artificial Sequence Antisense Oligonucleotide 54 ctcagcattc tccaaattca 20 55 20 DNA Artificial Sequence Antisense Oligonucleotide 55 ttacagcgag atgtcatttc 20 56 20 DNA Artificial Sequence Antisense Oligonucleotide 56 gtcgccctcg atctctcaac 20 57 20 DNA Artificial Sequence Antisense Oligonucleotide 57 gccgtcttca ggaatcttct 20 58 20 DNA Artificial Sequence Antisense Oligonucleotide 58 cagaagagct atttggtagt 20 59 20 DNA Artificial Sequence Antisense Oligonucleotide 59 agcttatcct atgacaatgt 20 60 20 DNA Artificial Sequence Antisense Oligonucleotide 60 caatctcatt tcctgaggaa 20 61 20 DNA Artificial Sequence Antisense Oligonucleotide 61 aggtatggct atatatatag 20 62 20 DNA Artificial Sequence Antisense Oligonucleotide 62 agttctccaa taaaaccaat 20 63 20 DNA Artificial Sequence Antisense Oligonucleotide 63 ctgcatgtgt gattgtcaaa 20 64 20 DNA Artificial Sequence Antisense Oligonucleotide 64 tttgcaaaag caagtgcaat 20 65 20 DNA Artificial Sequence Antisense Oligonucleotide 65 taagggcaca caggaacccc 20 66 20 DNA Artificial Sequence Antisense Oligonucleotide 66 caggagaaat aagggcacac 20 67 20 DNA Artificial Sequence Antisense Oligonucleotide 67 gtagagtttc taaactaggt 20 68 20 DNA Artificial Sequence Antisense Oligonucleotide 68 tgcaacccat gaaggtaaaa 20 69 20 DNA Artificial Sequence Antisense Oligonucleotide 69 aaaggatgaa ggctgggagc 20 70 20 DNA Artificial Sequence Antisense Oligonucleotide 70 ccattggtgt ttgtatagaa 20 71 20 DNA Artificial Sequence Antisense Oligonucleotide 71 caggagccca gaaagatgga 20 72 20 DNA Artificial Sequence Antisense Oligonucleotide 72 gagcaatcag gagcccagaa 20 73 20 DNA Artificial Sequence Antisense Oligonucleotide 73 aaagtggctt cactttttga 20 74 20 DNA Artificial Sequence Antisense Oligonucleotide 74 ggactggaga taactgaaaa 20 75 20 DNA Artificial Sequence Antisense Oligonucleotide 75 gtctccacac cttcacattt 20 76 20 DNA Artificial Sequence Antisense Oligonucleotide 76 ccaggtaggc agtggaaaga 20 77 20 DNA Artificial Sequence Antisense Oligonucleotide 77 cttaaaggag ttccccttta 20 78 20 DNA Artificial Sequence Antisense Oligonucleotide 78 ttctgcaaag gttgagaagg 20 79 20 DNA Artificial Sequence Antisense Oligonucleotide 79 ttgtggacac aaattttcta 20 80 20 DNA Artificial Sequence Antisense Oligonucleotide 80 acacttcttt gttgattaac 20 81 20 DNA Artificial Sequence Antisense Oligonucleotide 81 ccatccaaac agagctgata 20 82 20 DNA Artificial Sequence Antisense Oligonucleotide 82 ttgaatatct catgaatgga 20 83 20 DNA Artificial Sequence Antisense Oligonucleotide 83 cttgaatatc tcatgaatgg 20 84 20 DNA Artificial Sequence Antisense Oligonucleotide 84 taaaaataag tgcttgagac 20 85 20 DNA Artificial Sequence Antisense Oligonucleotide 85 aaacatttta tttatgtaaa 20 86 20 DNA Artificial Sequence Antisense Oligonucleotide 86 actatgccac tttacttcat 20 87 20 DNA Artificial Sequence Antisense Oligonucleotide 87 gggtatgcag tgcccctttt 20 88 20 DNA Artificial Sequence Antisense Oligonucleotide 88 gtggctgtac agacctttcc 20 89 20 DNA Artificial Sequence Antisense Oligonucleotide 89 attagtcccc agaatcctgt 20 90 20 DNA Artificial Sequence Antisense Oligonucleotide 90 acatgaatta gtccccagaa 20 91 20 DNA Artificial Sequence Antisense Oligonucleotide 91 atatgtcttg taaattcagt 20 92 20 DNA Artificial Sequence Antisense Oligonucleotide 92 ccttcctact gatgagattt 20 93 20 DNA Artificial Sequence Antisense Oligonucleotide 93 ggtcattagt taaaaccatt 20 94 20 DNA Artificial Sequence Antisense Oligonucleotide 94 tctcaaattc ctaggctcaa 20 95 20 DNA Artificial Sequence Antisense Oligonucleotide 95 acctcagcct cccaagtagc 20 96 20 DNA Artificial Sequence Antisense Oligonucleotide 96 aaatggattt agctactagg 20 97 20 DNA Artificial Sequence Antisense Oligonucleotide 97 caaatggatt tagctactag 20 98 20 DNA Artificial Sequence Antisense Oligonucleotide 98 ctcggaggcc cggaggaggc 20 99 20 DNA Artificial Sequence Antisense Oligonucleotide 99 gatccccgga gctcggaggc 20 100 20 DNA Artificial Sequence Antisense Oligonucleotide 100 ggccagatgt ggccggcgat 20 101 20 DNA Artificial Sequence Antisense Oligonucleotide 101 ggaccccggg ctgcgccttt 20 102 20 DNA Artificial Sequence Antisense Oligonucleotide 102 cctggtgcgc cacgaaccga 20 103 20 DNA Artificial Sequence Antisense Oligonucleotide 103 gcccccgtcg ctcgtcatag 20 104 20 DNA Artificial Sequence Antisense Oligonucleotide 104 cggagcagcc cccgacccat 20 105 20 DNA Artificial Sequence Antisense Oligonucleotide 105 ccacaggccc cggagcagcc 20 106 20 DNA Artificial Sequence Antisense Oligonucleotide 106 gatgcgcgtc cacaggacga 20 107 20 DNA Artificial Sequence Antisense Oligonucleotide 107 tcgtgctggc gatgcgcgtc 20 108 20 DNA Artificial Sequence Antisense Oligonucleotide 108 tgcggcggga tcgtgctggc 20 109 20 DNA Artificial Sequence Antisense Oligonucleotide 109 ggatggtcct attacagctt 20 110 20 DNA Artificial Sequence Antisense Oligonucleotide 110 acttgcacag ctgtggaagc 20 111 20 DNA Artificial Sequence Antisense Oligonucleotide 111 tcatgcagga cttctggttg 20 112 20 DNA Artificial Sequence Antisense Oligonucleotide 112 ttccagagtg aagccgtggt 20 113 20 DNA Artificial Sequence Antisense Oligonucleotide 113 cgcccttttc ttttccttca 20 114 20 DNA Artificial Sequence Antisense Oligonucleotide 114 gtctcgcccg cccttttctt 20 115 20 DNA Artificial Sequence Antisense Oligonucleotide 115 ggactgctgg tggtgtattc 20 116 20 DNA Artificial Sequence Antisense Oligonucleotide 116 agcggaggca ggaggctgac 20 117 20 DNA Artificial Sequence Antisense Oligonucleotide 117 gctatggcaa tccccagcgg 20 118 20 DNA Artificial Sequence Antisense Oligonucleotide 118 tgacagctat ggcaatcccc 20 119 20 DNA Artificial Sequence Antisense Oligonucleotide 119 ctcagcttct gctgccggtg 20 120 20 DNA Artificial Sequence Antisense Oligonucleotide 120 ggtcgtcctc caggatgatg 20 121 20 DNA Artificial Sequence Antisense Oligonucleotide 121 cgcacgtgga gctgatgtcg 20 122 20 DNA Artificial Sequence Antisense Oligonucleotide 122 ttgatgttgt tggcgcacgt 20 123 20 DNA Artificial Sequence Antisense Oligonucleotide 123 ccgtgttgtg gttgatgttg 20 124 20 DNA Artificial Sequence Antisense Oligonucleotide 124 cgatgggcag cagctccgtg 20 125 20 DNA Artificial Sequence Antisense Oligonucleotide 125 tccagctcga tgggcagcag 20 126 20 DNA Artificial Sequence Antisense Oligonucleotide 126 gccttgtaga cctcggcgaa 20 127 20 DNA Artificial Sequence Antisense Oligonucleotide 127 tgacagccac ggtctcaaac 20 128 20 DNA Artificial Sequence Antisense Oligonucleotide 128 aggaactgca ggatgttctc 20 129 20 DNA Artificial Sequence Antisense Oligonucleotide 129 ctcggccgtc aggaactgca 20 130 20 DNA Artificial Sequence Antisense Oligonucleotide 130 ccgctcctcg gccgtcagga 20 131 20 DNA Artificial Sequence Antisense Oligonucleotide 131 gtgatcagcc agtactgctt 20 132 20 DNA Artificial Sequence Antisense Oligonucleotide 132 ggttgccctt cgcgtggaac 20 133 20 DNA Artificial Sequence Antisense Oligonucleotide 133 tactcctgca ggttgccctt 20 134 20 DNA Artificial Sequence Antisense Oligonucleotide 134 ctgatgacat gcctcgtgag 20 135 20 DNA Artificial Sequence Antisense Oligonucleotide 135 ggccagggag ctgcccagct 20 136 20 DNA Artificial Sequence Antisense Oligonucleotide 136 aggtccctgt gaacaatggg 20 137 20 DNA Artificial Sequence Antisense Oligonucleotide 137 tgttagagct cttgaggtcc 20 138 20 DNA Artificial Sequence Antisense Oligonucleotide 138 tcgttcttca ctaggatgtt 20 139 20 DNA Artificial Sequence Antisense Oligonucleotide 139 ccaggcgcaa ggacagcccg 20 140 20 DNA Artificial Sequence Antisense Oligonucleotide 140 ttcatcctgg attctagaac 20 141 20 DNA Artificial Sequence Antisense Oligonucleotide 141 ggagtagaca tccgtctgct 20 142 20 DNA Artificial Sequence Antisense Oligonucleotide 142 cagcgggacg tcatttccca 20 143 20 DNA Artificial Sequence Antisense Oligonucleotide 143 ttcatgctct ccacacaggg 20 144 20 DNA Artificial Sequence Antisense Oligonucleotide 144 tttccggccg ccctcggtct 20 145 20 DNA Artificial Sequence Antisense Oligonucleotide 145 agctgggaat ttccggccgc 20 146 20 DNA Artificial Sequence Antisense Oligonucleotide 146 cacacgatct ggatgccctg 20 147 20 DNA Artificial Sequence Antisense Oligonucleotide 147 tggtcccagc actcggtcaa 20 148 20 DNA Artificial Sequence Antisense Oligonucleotide 148 cttctcctgg gagcagctcc 20 149 20 DNA Artificial Sequence Antisense Oligonucleotide 149 agaaaaagct atttggtagt 20 150 20 DNA Artificial Sequence Antisense Oligonucleotide 150 cccagcctgc ccagaaaaag 20 151 20 DNA Artificial Sequence Antisense Oligonucleotide 151 ggaagaaggg agcaagtcct 20 152 20 DNA Artificial Sequence Antisense Oligonucleotide 152 ctatggttgt tgctgctgct 20 153 20 DNA Artificial Sequence Antisense Oligonucleotide 153 tgccatgaca gtctccaagg 20 154 20 DNA Artificial Sequence Antisense Oligonucleotide 154 tataaaacat agctattcgt 20 155 20 DNA Artificial Sequence Antisense Oligonucleotide 155 taggaaggag agtgttgatg 20 156 20 DNA Artificial Sequence Antisense Oligonucleotide 156 ttgtttctga gccagacagt 20 157 20 DNA Artificial Sequence Antisense Oligonucleotide 157 cagttcactc ccttttaatg 20 158 20 DNA Artificial Sequence Antisense Oligonucleotide 158 acagaacctc acacctggcg 20 159 20 DNA Artificial Sequence Antisense Oligonucleotide 159 agagagagaa aggcaagctg 20 160 20 DNA Artificial Sequence Antisense Oligonucleotide 160 cttaaaccac atcagaaatc 20 161 20 DNA Artificial Sequence Antisense Oligonucleotide 161 tatttagtgt ctttctgggt 20 162 20 DNA Artificial Sequence Antisense Oligonucleotide 162 gattgttcat tcagatgaga 20 163 20 DNA Artificial Sequence Antisense Oligonucleotide 163 gtgtggtatt attcaggatc 20 

What is claimed is:
 1. A compound 8 to 50 nucleobases in length targeted to a nucleic acid molecule encoding Transforming growth factor beta receptor II, wherein said compound specifically hybridizes with said nucleic acid molecule encoding Transforming growth factor beta receptor II and inhibits the expression of Transforming growth factor beta receptor II.
 2. The compound of claim 1 which is an antisense oligonucleotide.
 3. The compound of claim 2 wherein the antisense oligonucleotide has a sequence comprising SEQ ID NO: 21, 22, 27, 28, 33, 34, 41, 42, 44, 47, 49, 50, 53, 56, 57, 61, 63, 65, 66, 67, 68, 72, 73, 74, 76, 78, 80, 87, 91, 93, 94, 20, 23, 24, 25, 29, 30, 31, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 121, 122, 123, 124, 125, 127, 128, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 143, 144, 145, 146, 147, 149, 150, 152, 153, 154, 155, 156, 158, 160 or
 161. 4. The compound of claim 2 wherein the antisense oligonucleotide comprises at least one modified internucleoside linkage.
 5. The compound of claim 4 wherein the modified internucleoside linkage is a phosphorothioate linkage.
 6. The compound of claim 2 wherein the antisense oligonucleotide comprises at least one modified sugar moiety.
 7. The compound of claim 6 wherein the modified sugar moiety is a 2′-O-methoxyethyl sugar moiety.
 8. The compound of claim 2 wherein the antisense oligonucleotide comprises at least one modified nucleobase.
 9. The compound of claim 8 wherein the modified nucleobase is a 5-methylcytosine.
 10. The compound of claim 2 wherein the antisense oligonucleotide is a chimeric oligonucleotide.
 11. A compound 8 to 50 nucleobases in length which specifically hybridizes with at least an 8-nucleobase portion of an active site on a nucleic acid molecule encoding Transforming growth factor beta receptor II.
 12. A composition comprising the compound of claim 1 and a pharmaceutically acceptable carrier or diluent.
 13. The composition of claim 12 further comprising a colloidal dispersion system.
 14. The composition of claim 12 wherein the compound is an antisense oligonucleotide.
 15. A method of inhibiting the expression of Transforming growth factor beta receptor II in cells or tissues comprising contacting said cells or tissues with the compound of claim 1 so that expression of Transforming growth factor beta receptor II is inhibited.
 16. A method of treating an animal having a disease or condition associated with Transforming growth factor beta receptor II comprising administering to said animal a therapeutically or prophylactically effective amount of the compound of claim 1 so that expression of Transforming growth factor beta receptor II is inhibited.
 17. The method of claim 16 wherein the disease or condition is a hyperproliferative disorder.
 18. The method of claim 17 wherein the hyperproliferative disorder is cancer.
 19. The method of claim 18 wherein the cancer is lung, liver, bone, breast, cervical, colon, gastric, pancreatic, esophageal, or hematopoetic cancer.
 20. The method of claim 16 wherein the disease or condition involves activation of the immune system. 